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with? If someth<strong>in</strong>g is bad, or flawed, or dangerous,<br />
it is enough if we expose it for what it is. It is almost<br />
as if once it has been determ<strong>in</strong>ed that someth<strong>in</strong>g exists,<br />
we decide it must be there for a reason (undoubtedly<br />
true) and then slide <strong>in</strong>to the false position<br />
that it must be there for a good reason, which<br />
is undoubtedly not true."<br />
Placed alongside that, Women, Power and<br />
<strong>The</strong>rapy—& collection of papers presented at the<br />
1983-1984 Women's Institute, sponsored by the<br />
American Orthopsychiatric Association and edited<br />
by Marjorie Braude—is necessarily less coherent.<br />
<strong>The</strong> occasion for this cross-discipl<strong>in</strong>ary dialogue,<br />
is the struggle by "many of us <strong>in</strong> the mental health<br />
field" for professional recognition—"from our<br />
states, <strong>in</strong>surance companies, national organization,<br />
and even our peers." <strong>The</strong> struggle, that is, for<br />
recognition by the ma<strong>in</strong>stream medical/psychotherapy<br />
field. It is that will to belong to the club<br />
that perhaps speaks best to the concern Masson<br />
raises. It is not unknown that the price of the ticket<br />
of admission to most professions is that you check<br />
your non-conform<strong>in</strong>g political persuasions at the<br />
door.<br />
Nonetheless, much <strong>in</strong> the book speaks to serious<br />
fem<strong>in</strong>ist <strong>issue</strong>s; and certa<strong>in</strong>ly many of the papers<br />
validate women's reality <strong>in</strong> this culture. "Depressed<br />
people are not 'sick',"writes Gretchen Gr<strong>in</strong>nell.<br />
"Rather they are mistaken <strong>in</strong> believ<strong>in</strong>g that they<br />
themselves are malfunction<strong>in</strong>g while those who<br />
dom<strong>in</strong>ate them are 'well'. <strong>The</strong> opposite is often<br />
true—depression is a correct reaction to a<br />
disordered surround." This is excit<strong>in</strong>g to read<br />
precisely because it is true; but it raises and leaves<br />
hang<strong>in</strong>g a critical question. What, besides challeng<strong>in</strong>g<br />
the "disordered surround", politically, is go<strong>in</strong>g<br />
to make any significant difference—even for the<br />
"depressed"<strong>in</strong>dividual? <strong>The</strong>re was no question <strong>in</strong><br />
the m<strong>in</strong>d of Hersilie Rouy, <strong>in</strong>stitutionalized <strong>in</strong> 19th<br />
century France (as Masson recounts from her<br />
diaries) that she was perfectly sane <strong>in</strong> an <strong>in</strong>sane<br />
place, or that her protests of that were <strong>in</strong>creas<strong>in</strong>gly<br />
<strong>in</strong>convenient. <strong>The</strong>n, as now, however, the way<br />
to be perceived as "cured"by those who hold<br />
power <strong>in</strong> the mental health <strong>in</strong>dustry is to "admit"that<br />
you were "sick".<br />
Unexam<strong>in</strong>ed here is the very sticky question of<br />
what health is. Is it feel<strong>in</strong>g comfortable? <strong>The</strong> delusion<br />
may be a more successful place to be than<br />
reality. Is it "high self-esteem"? Sociopaths seem<br />
to have that <strong>in</strong> surplus.<br />
"A further criticism of traditional therapy,"<br />
writes Charlotte Krause Prozan <strong>in</strong> her paper "An<br />
Integration of Fem<strong>in</strong>ist and Psychoanalytic<br />
<strong>The</strong>ory", is ' 'that its aims at gett<strong>in</strong>g the patient to<br />
conform and to adjust to an unjust society cannot<br />
be countered by gett<strong>in</strong>g the patient to conform to<br />
what we as fem<strong>in</strong>ists or socialist or anti-nuclear activists<br />
hold out as our personal vision of what is a<br />
just society. If we do, then we are mak<strong>in</strong>g moral<br />
rather than psychological judgments."<br />
Well, yes. But we know from fem<strong>in</strong>ist analyses<br />
of male-generated psychiatric theory and practice<br />
that little <strong>in</strong> the therapist/patient (or client) relationship<br />
is value-free. "Treatment" by one person<br />
def<strong>in</strong>ed as qualified of another def<strong>in</strong>ed as hav<strong>in</strong>g<br />
a problem has <strong>in</strong>herent <strong>in</strong> it one person's superior<br />
take on life. Inherent also are moral judgements:<br />
non-conformity, challeng<strong>in</strong>g the status quo,<br />
whether by your be<strong>in</strong>g or your politics, do not tend<br />
to lead to passionate approval by society, to success<br />
on the job. Of course this is stressful. It is even<br />
depress<strong>in</strong>g. But is it worthwhile?<br />
<strong>The</strong>re is an uneasy tension <strong>in</strong> this book (as, no<br />
doubt, with<strong>in</strong> the fem<strong>in</strong>ist therapy community) between<br />
the will to confront what is true—and the<br />
desire to be taken "seriously''. Its strongest value<br />
is that it raises serious questions. In fact, the <strong>issue</strong>s<br />
both these books raise are vital and far-reach<strong>in</strong>g <strong>in</strong><br />
their implications. Let me not act the guru; read<br />
them, th<strong>in</strong>k about them—and you decide.<br />
—Louise Armstrong<br />
Louise Armstrong is the author of KISS DADDY<br />
GOODNIGHT, recently re-<strong>in</strong>troduced as KISS<br />
DADDY GOODNIGHT: TEN YEARS LATER,<br />
with a new Introduction and Afterword.<br />
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