Point 1 from the book: We should take our focus away

from individual psychology.

In psychology and psychiatry we aim to understand human emotional distress by

understanding the mind and biogenetic makeup of the individual. Less attention is paid

to what is going on in the world and the relationship between individuals and society.

Smail argues that societal factors are just as important in influencing our emotional

states, as “we are as much creatures of culture as of biology”.

In our current system we deem each individual’s emotional state to be “largely if not

solely their own responsibility”. Smail suggests that “abandoning a self-centred

psychology would increase freedom and dignity rather than diminish them” (this links

back to a previous post on the blog by Daniel Rotbardt). By continuing to blame

individuals for their suffering within society, Smail warns that we are making it easy for

the few individuals in power to exploit us for their own advantage…

“Smail argues that societal factors are just as important in influencing our
emotional states…”

Yasmin and her housemate reading the book.

Point 2 from the book: The influence of distal powers.

Smail emphasises the role of external powers that are capable of altering our

perceptions. These powers can be coercive, economic, or ideological – and they

operate at varying distances from the person. Smail proposes a model called the

‘power horizon’, where the ‘self’ is at the centre and the largest, most influential powers

(global powers and governments) lay out somewhere beyond the horizon, too far away

for the self to see – where all sorts of things might be happening.

Distal powers can take hold of our proximal space via media manipulation or

advertising, for example (see back to a previous post on this by Laurie Hannigan). One

way that this has happened has been via the globalisation of the ‘free market’, which

has resulted in the sale of ‘highly desirable’ consumer goods, which are actually the
product of brutal exploitation of labour on the other side of the world – hidden from

the consumers.

We are unconscious of these distal powers and it is difficult for us to comprehend their

influence over us, because it is difficult for us to feel our conduct as anything other than

our own creation. As a result, Smail suggests that we invest a disproportionate amount

of belief in self-importance – which “bears upon us the self-conscious spotlights of guilt

and anxiety”. Smail suggests that “when things go well we falsely credit ourselves with

virtue, and when things go wrong we wrongly torment ourselves with blame”. In actual

fact, “most things come out the way they do in accordance with the interests of the

powerful”.

“… it is difficult for us to feel our conduct as anything other than our own
creation.”

Point 3 from the book: Therapeutic aims should be

shifted.
Smail proposes that lack of power is a major source of emotional distress. This, he

argues, is “a material circumstance, not a psychological condition”. Smail proposes that

the psychologist’s job should not be “to diagnose the ‘inner person’ but to explicate his

or her relationship with the outside world”. This involves helping the individual to

determine what is and isn’t possible for them to change with regards to their

circumstances.

Smail uses this argument to denounce the practise of cognitive behavioural therapy

(CBT). In his view, CBT wrongly “converts powerlessness into a ‘sense of

disempowerment’ that can be ‘treated’ by persuading people to see things in a

different light”. Smail suggests that we cannot find the cure to emotional distress at a

personal level, because “along with seeing the need to change”, individuals “need

the power to change”. By establishing the limits of individual responsibility and power,

we may be able to lift a heavy burden of apprehension or guilt from those who are

struggling with their mental state.

What we think should be inside ourselves is actually a false representation of humanity,

which has been manipulated by distal powers. So in summary, Smail urges the reader

to “take really seriously the fact that we are a society, not a collection of individuals,

and that we live in a real world that is as impervious to optimism as it is to

wishfulness”.

“Smail suggests that we cannot find the cure to emotional distress at a

personal level…”

Having finished the book I am left wondering whether we are doing enough to

accommodate this perspective in our research. How do the points raised by Smail

relate to the theory behind therapy-genetics, or research on the intergenerational

transmission of psychopathology? I’m still thinking