Professional Documents
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Walker Percy
To cite this article: Walker Percy (1961) The Symbolic Structure of Interpersonal Process,
Psychiatry, 24:1, 39-52, DOI: 10.1080/00332747.1961.11023252
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The Symbolic Structure of Interpersonal Process
Walker Percy *
N OWADAYS one frequently hears the relation between psychiatrist and patient
described as a field of interaction in which the psychiatrist plays the dual role
of participant and observer. The concept of the prime role of social interaction in
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the genesis of the psyche, largely the contribution of Mead in social psychology 1. and
Sullivan in psychiatry,2 is a valid and fruitful notion and marks an important advance
over older psychologies of the individual psyche. Yet it presently conceals a deep
ambiguity, and, as ordinarily understood, tends to perpetuate a divorce between
theory and practice which cannot fail to impede the progress of psychiatry as an
empirical science. It is the thesis of this paper that this ambiguity in both psychiatry
and social psychology can be traced to an equivocation of behavioral terms such as
sign, stimulus, interaction, and so forth, in which they are applied to two generically
different communication events. It is further proposed (1) to call into question the
behavioristic or sign theory of interpersonal process, (2) to outline the generic struc-
ture of symbolic behavior, and (3) to examine briefly its relevance for the therapist-
patient relation.
The ambiguity is found in the way such servable behavior of organisms. The am-
behavioral terms as interpersonal reflexes, biguity appears in the description of the
social interaction, and response are ap- behavior of both psychiatrist and patient.
plied to what seem to be two different Thus those studying the patient find it
kinds of interpersonal events. This usage natural to speak of the objective study of
leads to confusion because it is not made his behavior and also of an "interpretive
clear whether the writers mean that the content analysis" of what he says.4 And
events are different and the terms are the behavior of the psychiatrist is de-
used broadly, or that the events are really scribed as "participant observation." The
alike and the terms are used strictly. On psychiatrist not only enters into a conver-
the one hand, the phrase interpersonal sation as other people do; he also pre-
relation is often used with the clear as- serves a posture of objectivity from which
sumption that what is designated is an he takes note of the patient's behavior,
interaction between organisms describ- and his own, according to the principles
able in the terms of a behavioristic social of his science. One is free, of course, to
psychology.3 On the other hand, the same designate all these activities by some such
term is extended to activities which are term as behavior or interaction. But if it
even recognized by the writers as being in is meant that these activities are really
some sense different from the directly ob- alike, it is not clear in what ways they
• See, for example, David McK. Rioch, "Psychiatry • See, for example, Joseph Jaffe, "Language of the
as a Biological Science," PSYCHIATRY (1955) 18:313- Dyad," PSYCHIATRY (1958) 21:249-258; p. 249: "The
321; p. 318: "The theory [Sullivan's theory of inter- measurement of human interaction has recently been
personal relations] is very effective in dealing with approached through a variety of techniques, ranging
the behavior of organisms, as it provides a compre- from interpretive content analyses to objective re-
hensive fra111ework for dealing with the Intel'action cording of temporal patterns in behavioral interac-
of multiplp. fflClt.orR, in~1111'1ine tho obsorver." tion."
* B.A. Univ. of North Carolina 37, M.D. Columbia Univ. ColI. of Physicians and Surgeons 41. Intern,
Bellevue Hosp., First (Columbia) Div., N. Y. 42; Instr., Dept. of Pathology, Columbia Univ. 44; Asst., Gay-
lord Farms Sanitorium 45; rsc. and writing on semantics and allied subjects 45-.
1 G. H. Mead, Mind, Self and Society; Chicago, Univ. of Chicago Press, 1934.
• Harry Stack Sullivan, The Interpersonal Theory of Psychiatry; New York, Norton, 1953; pp. 13, 19.
[39 ]
40 WALKER PERCY
are alike. Or if it is allowed that they But the term participant observation
are different, it is not clear wherein they expresses rather than clarifies a dilemma
differ or under what larger canon they of the social sciences, and it should be .
may be brought into some kind of con- accepted heuristically rather than as an
ceptual order. explanation of what the psychiatrist is
doing. The persistent ambiguity, how-
The anomalous position of empirical sci- ever, is not occupationally peculiar to
entists vis-a.-vis intersubjective phenom- psychiatrists, and is not to be resolved
ena has been noticed before. 5 Even Mead by psychiatric theory. It comes about
declared that an ideally refined behavior- not as a result of some peculiar exigency
ism could explain the behavior of the ob- of the therapist-patient relation but rather
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served subject but not that of the observ- as a result of a fundamental incoherence
ing behaviorist. 6 The social psychologist, in the attitude of empirical scientists to-
it seems fair to say, sets out to understand ward that generic phenomenon of which
social behavior as a species of interaction the therapist-patient encounter is but a
between organisms. 7 Yet by his own be- special instance: human communication.
havior he seems to allow for a kind of in- And it is to communication theory, con-
terpersonal activity which can be called sidered both as the empirical science of
"interaction" only by the most Pick- symbolic behavior (psycholinguistics)
wickian use of language. For the social and as a unified theory of signs (semiotic),
psychologist observes, theorizes, and that one must look for the source of the
writes papers which he expects his col- confusion and its resolution.
leagues not merely to respond to, but to
understand as well. 8 His behaviorism does THE INCOHERENCE OF A BEHAVIORISTIC
not give an account of his own behavior. THEORY OF MEANING
The awkward fact is that verstehen, that
indispensable technique by which the so- About thirty-five years ago Edward
cial scientist discovers what another per- Sapir called attention to a serious over-
son 'means,' is not provided for by neobe- sight in the then current psychology of
havioristic psychology.9 The anomaly is language, writing, " ... psychologists
implicit in social psychology but explicit have perhaps too narrowly concerned
and acute in psychiatry because of the themselves with the simple psychophysi-
peculiar nature of the therapist-patient cal bases of speech and have not pene-
encounter. It is not possible to ignore trated very deeply into its symbolic na-
the role of the scientist when he com- ture." 1() He called 'for an empirical study
prises one half of the social dyad under of speech as a mode of symbolic behavior.
study. The social psychologist studies the Ten years later another great linguist,
interactions of persons and groups. But Benjamin Lee Whorf, took issue with his
the psychiatrist is very largely concerned colleagues' practice of "recording hair-
with the "interaction" between the pa- splitting distinctions of sound, performing
tient and himself. And so the psychiatrist phonetic gymnastics, and writing complex
has come to be called the "participant ob- grammars which only grammarians read."
server." "The essential question of linguistics," he
reminded them, "is meaning." 11
8 Alfred Schut?:, "Concept and Theory Formation
in the Social SCiences," J. Philosophy (1954) 51:257- The warnings of Sapir and Wharf have
273. not been heeded. On the contrary. The
B Soc footnote 1.
T "Social psychology, considered as a branch of trend of theoretical linguistics in recent
psychology, is the study of individual responses as years has been in precisely the opposite
conditioned by stimuli arising from social or collec-
tive situations; consIdered as a branch of socIology direction. Linguists are quite frank about
or as collective psychology, it is the study of collec-
tive responses or of the behavior of groups and 10 Selected Writings of Edward Sapir in Language,
other collectivities." L. L. Bernard, "Social PSy- Culture and Personaztty, edited by David G. Mandel-
chology," pp. 151-156; in Encycloped14 of the Social baum; Berkeley, Univ. of California Press, 1951;
Sciences, Vol. 14; New York, Macmillan, 1934; p. 151. p.163.
a Percy, "Symbol, Consciousness, and Intersubjec- n Benjamin Lee Whorf, Language, Thought, and
tivity," J. Philosophy (1958) 55:632·641. BeaUty, edited by John B. Carroll; New York, Wiley,
8 See Schutz, footnote 5. 1956: p. 73. .
THE SYMBOLIC STRUCTURE OF INTERPERSONAL PROCESS 41
as nuclear fission or sexual reproduction. behavior does happen: people talk to-
Neobehavioristic social psychology is gether, name things, make assertions
not able to take account of symbolic be- about states of affairs, and to a degree un-
havior, let alone provide a heuristically derstand each other.
fruitful basis of investigation. To say so The real task is how to study symbolic
is in no wise to challenge the accomplish- behavior, not formally by the deductive
ments of the behavioristic approach. sciences which specify rules for the use
Learning theory is still valid as far as it of symbols in logic and calculi, but empiri-
goes. Reaction times still stand. It is still cally as a kind of event which takes place
quite true to say that when a conversa- in the same public domain as learning
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tion takes place between two people, a behavior. Sapir's gentle chiding about
stimulus or energy exchange makes its the lack of a science of symbolic behavior
well-known journey as a wave disturbance and the need of such a science is more
in the air, through the solids of the middle conspicuously true today than it was
ear, as an afferent nerve impulse, as an thirty-five years ago.
electro colloidal change in the central I am well aware, of course, that the
nervous system, as an efferent nerve im- altogether praiseworthy objective of the
pulse, as a muscle movement in the larynx behaviorist is to get beyond the old men-
of the second speaker, as a wave disturb- talist nightmare in which interpersonal
ance, and so on. One is still justified in process is set forth in terms of my having
calling the interpersonal process what 'ideas,' 'thoughts,' and 'feelings,' and giv-
Mead called it fifty years ago: a conversa- ing them names and so conveying them
tion of gesture in which my speech stimu- to you. If the word 'meaning' refers to
lus "calls out a response" from yoU. 22 It such mental entities, researchers do well
is not enough to say this, however. For, to have nothing to do with it, for nothing
as Susanne Langer rather drily observed, has so effectively stifled the empirical in-
to set forth language as a sequence of vestigation of communication as this mis-
stimuli and responses overlooks the salient begotten offspring of Descartes, the word-
trait of symbolic behavior: symbols, thing, the sound which I speak and which
words, not only call forth responses; they somehow carries my idea over to you like
also denote things, name things for both a note in a bottle. Yet the question must
speakers. 23 Furthermore, behavioristic arise as to whether the alternatives lie
psychology is not able to take account of only between a behavioristic theory of
another universal trait of connected meaning, the energy exchange bouncing
speech: words are not merely aggregates back and forth between speaker and
of sound, however significant; in sentences hearer like a tennis ball, and the old
or in agglutinative forms they also assert miraculous mind reading by means of
a state of affairs (or deny it or question words. The phenomenon of verstehen, my
it or command it). No alternative remains understanding of what another person
to the behaviorist semanticist but to dis- 'means,' has been often called "subjective"
qualify the phenomenon of symbolization by positive scientists and hence beyond
-to call it "an unreal but imputed rela- the competence of empirical science. 26
tion between word and thing" 24 or simply But such a ruling places the social scien-
"wrong." 25 Again one is free to call sym- tist in the uncomfortable position of dis-
bolic behavior wrong or unreal or any- qualifying his own activity-in the psy-
thing one likes, but such epithets hardly chiatrist's case, the activity of understand-
settle its status for the empirical scientist. ing his patient, writing papers, teaching
I t remains the task of empirical science courses.
to investigate phenomena as they happen,
and everyone would agree that symbolic SOME MOLAR TRAITS OF THE
COMMUNICATION EVENT
22 See footnote 1.
28 Susanne K. Langer, Philosophy in a New Key; The fact is that the generic traits of
New York, Mentor Books, 1951; p. 51.
•• C. K. Ogden and I. A. Richards, The Meaning of symbolic behavior are not 'menta1' at all .
Meaning; New York, Harcourt, Brace, 1953; pp. 11·12.
.. See Korzybski, footnote 20. 1\0 See Schutz, footnote 5 •
THE SYMBOLIC STRUCTURE OF INTERPERSONAL PROCESS 43
They are empirically ascertainable and structure of symbolic behavior. One of the
have indeed been observed often enough. main theses of Buber's thought is his con-
Both Ruesch and Jaffe have noticed that cept of relation, or the interhuman, which
interpersonal events are peculiarly dyadic he holds to be beyond the reach of a be-
in a sense not altogether applicable to havioristic psychology. The other is the
the interaction of the organism with its concept of distance.81 In contrast to the or-
environment. Ruesch speaks of the struc- ganism which exists wholly within its en-
ture of the interpersonal relation as a two- vironment, man sets things at a distance.
person system; 27 Jaffe calls it a dyad. 28 He is the creature through whose being
I would lay even greater stress on this (Sein), a phenomenon, 'what is' (das
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ing, and we are quite aware that those out A sign-using organism can be said to
in the street are not)? The community take account of those segments of its en-
may vary from Ii face-to-face confrontation vironment toward which, through the re-
of two people and the various colorations wards and punishments of the learning
of the I-you bond, to the scattered and process, it has acquired the appropriate
numerically unlimited community of mass responses. It cannot be meaningfully de-
communication in which one person com- scribed as 'knowing' anything else. But
municates with others through various a symbol-using organism has a world.
media. In the latter case, still other ques- Once it knows the name of trees-what
tions become pertinent. What is the effect trees 'are'-it must know the name of
of the interposition of the medium be- houses. The world is simply the totality
tween speaker and hearer? When the of that which is formulated through sym-
President says on television, "I am count- bols. It is both spatial and temporal. Once
ing on you right there in your living room a native knows there is an earth, he must
to make a sacrifice," is the sentence re- know what is under the earth. Once he
ceived in the same way as it would be in knows what happened yesterday, he must
a face-to-face encounter, or is it apt to know what happened in the beginning.
constitute itself for the viewer as merely Hence his cosmological and etiological
another item of "what one hears" on radio myths. 40 Chickens have no myths.
and television? Nor does the symbol refer to its object
It should be emphasized that this em- in the same mode as the sign does. True,
pirical approach does not require the one can use the word mean analogically
settling or even the raising of the question and say that thunder means rain to the
of the ontological status of the intersub- chicken and that the symbol water means
jective relation. The latter is introduced water to Helen Keller. But the symbol
as a postulate which is valid to the ex- does something the sign fails to do: It
tent that it unites random observations sets the object at a distance and in a
and opens productive avenues of inquiry. public zone, where it is beheld intersub-
The object and the world.-The notion jectively by the community of symbol-
of world here is not an epistemological 40 Much of the formulating and objectifying func-
construct, as it is in much of European tion of the symbol has been set forth by Ernst
Cassirer (The Philosophy of Symbolic Forms; New
phenomenology. I am not saying that the Haven, Yale Univ. Press, 1953; see in particular Vol.
world is constituted by the Dasein or the 1, Language). But the empirical insights are so
submerged by the apparatus of <*rman idealism
transcendental ego. Nor do I say that a that they are salvaged only with difficulty. Cassirer
tree is exactly as it appears. I say only was concerned to extend the Kantian thesis to the
area of 4;)wture and symbols Ilnd RO t.n PRtRhliAh
thAt if onf': mAkf':1'I an empiric,al $t1.1dy of tlmt It il) th1'01lgh f1ymhnlFl t.hllt nnA not rnAt'A!Y
knows but constitutes the world. The milk ot the
sign-using animals and symbol-using ani- behavioral scientist is different. He confronts sym-
mals, one can only conclude that the latter bolic behavior from the same posture with which
he studies sign behavior: as events in a public
have a world and the former do not. Nor domain which he shares with other scientists. He
does such a notion require the entity sees people using words to name things and to
assert states of affairs, just as he sees rats thread-
'mind' in one and eliminate it in the ing their way through mazes. He is concerned to
other. It has only to do with the observ- explain what he sees by the use of mechanisms and
models. I confess that this posture presupposes a
able difference between sign behavior and species of philosophical realism.
THE SYMBOLIC STRUCTURE OF INTERPERSONAL PROCESS 47
users. As Langer put it, say James to a of the existentialists, akin as the latter
dog, and as a good sign-using animal he is to the transcendental subject of Kant
will go look for James. Say James to you, and HusserI. It is no more than a working
and if you know a James, you will ask: concept arrived at through the necessity
"What about him?" 41 of giving an account of the organism who
The genesis of symbolic behavior, con- participates in symbolic behavior. The
sidered both ontogenetically and phylo- organism who speaks has a world and
genetically, is an all-or-none change, in- consequently has the task of living in the
volving a symbolic threshold. As Sapir ob- world. It is simply inadequate to describe
served, there are no primitive languages. him in the organismic terms of adjust-
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sentence can be studied only by a formal bership, ae: A. It has this form regardless
science such as grammar or logic, but a of the particular language-event in which
sentence-event is open to a rich empirical it is asserted. The sentence can be as-
phenomenology that is wholly unprovided serted in more than one mode, however.
by what passes currently as semantics. Thus, if a psychiatrist should hear his
Nor can a neobehavioristic psychology patient utter the above sentence, he may
make sense of assertory behavior; it can very well understand, knowing her as he
only grasp a sequence of space-time does, that she is asserting a magic mode
events which it attempts to correlate by of class membership. Her son John has
constant functions. But assertion-the gone off to a scientific place where he
giving of a name to a thing, this is water, has undergone a mystical transformation
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versation, I tell you, "Last summer I went such strictly linguistic analyses as might
abroad and had some interesting experi- be made of phonemes, morphemes, and
ences and saw some historical sites," the grammar. Nor shall I say anything about
words act as biscuit cutters carving up the 'content' of the exchange-for ex-
memory into the weariest shapes of every- ample, the dream and its 'meaning'-im-
day usage. 50 portant though this may be in the pa-
tient's dynamics. But if one does not
The Symbolic Structure of a Therapist-Patient consider the linguistics and content of the
Communication Event language-event, what else remains to be
To determine how the generic structure said about it? What remains is nothing
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of symbolic behavior is relevant to the else but the particular structure of the
therapist-patient relation as an instance symbolic behavior, of which the symbolic
thereof, I shall consider briefly a hypo- tetrad is the generic type (see Figure 2).
The assumption that all that is going on
thetical language-event.
is an interaction between organisms de-
Patient: Here is a dream which may be of prives the investigator of the means of
some interest to you. Since you are an ana- taking account of the molar event of com-
lyst, I am sure you will agree it has psychi-
atric implications. munication, leaving him only with the al-
Therapist: Sounds interesting. ternative of fitting as best he can the
Patient: In this dream I was walking down qualitative traits of interpersonal be-
a strange street. A sexy-looking woman stand- havior into the Procrustean bed of a re-
ing behind a Dutch door beckoned to me. I sponse psychology. But once the generic
hesitated for a second, then against my better
judgment, I went into the house. character of symbolic behavior is recog-
Therapist: Horrendous! [Pronounced heart- nized, then the modes of intersubjectivity,
ily with a j: horrenjus!] 51 "world," "being-in-a-world," and assertory
identity are seen as particular expres-
In the study of a spoken language-event, sions of the fundamental possibilities al-
a written transcription is, of course, lowed by the structure of interpersonal
wholly unacceptable. 52 All phonetics and process-just as drives, needs, reinforce-
vocal modifiers are omitted. Even a tape ment and extinction, stimulus, response
recording is inadequate since it does not are the fundamental categories of or-
transmit gestures. In my comment on this ganismic interaction.
exchange, moreover, I will say nothing of
The mode of assertory identity.-It may
50 Ernest Schachtel has described this "articulating very well be that some of the assertory
and obscuring function" of language in "On Memory
and Chlldhood Amnesia," PSYCHIATRY (1947) 10:1-26. behavior in this example is magical. The
He gives a good example of the sterility of the con- patient is an educated layman, the sort
ventional phrase in which one distorts the ineffable
content of memory-as when one reports having an who takes pride in being well informed in
"exciting time." He says, "No object perceived with scientific matters, especiaIIy psychiatry,
the quality of freshness, newness, of something
wonder-full, can be preserved and recalled by the and in his use of psychiatric jargon. He
conventional concept of that object as designated in quite consciously uses "analyst" rather
its conventional name in language" (p. 9). It seems
to me, however, that he is describing terms that than "psychoanalyst." One often notices
have deteriorated in their semantic evolution rather in psychiatric interviews a kind of pseudo
than the entire spectrum of language itself. Sym-
bols may conceal, distort, render commonplace, yes; reverRal of the roles of scientist and lay-
but since people are not angelic intelligences, sym-
bols are their only means of knowing anything at man. The patient often uses such phrases
all.
51 "Horrenjus" is borrowed from Norman A.
as "Oedipus complex" (he would never
McQuown's linguistic analysis of an interview re- say "inferiority complex" since it passed
ported by Otto A. Will and Robert A. Cohen long ago into everyday usage, passing,
("Linguistic Transcription and Specification of Psy-
chiatric Interview MflterifllR," PRY~HTA'I'RY [lfll'i7] ?on; moreover, as a semantic husk of very
79-80), but the exchange is otherwIse hypothetical
and is offered not as clinical evidence but only illus- questionable value), "sibling rivalry," "ag-
tratively, to exemplify some traits of symbolic struc- gressions," and so forth, while the thera-
ture.
52 Reading is, it is true, an event of symbol1c be- pist is careful to steer clear of them, partly
havior, but it must be studied as such, as an event
open to an appropriate phenomenology and not as a
because he does not wish to use a techni-
substitute for hearing. ' cal phrase the patient would not under-
50 WALKER PERCY
stand, but perhaps even more because he The single utterance of the therapist,
is intuitively aware of the magic abuses "horrenjus," reveals a mode of the partici-
to which expertise is peculiarly suscepti- pant-observer stance, of necessity a kind
ble. 58 The patient in question may have, of straddle in which the therapist stands
by reason of this very knowledgeability outside and over against the world-in-
about psychiatry, fallen prey to a magic cluding his patient-and yet enters into
mode of identification. The clause, "Since an interpersonal relation with his patient.
you are an analyst," very likely asserts a He accomplishes the feat in this case
mystical transformation by which an through a kind of indulgent playfulness,
ordinary human being is transfigured and tempered effectively, as McQuown com-
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informed by the resplendent scientific ments,55 by his use of his pipe. The play-
symbols "psychiatrist" and "psychoana- ful irony of horrenjus!, pronounced with
lyst" and finally by the shorthand ex- an exaggerated vaudeville-British pro-
pression used among the elite, "analyst." priety, expresses mock scandal at the pa-
The world of the therapist and his tient's decision to approach the woman
being-in-the-world.-Insofar as he is a in his dream, a device which serves at
scientist, the therapist has assumed the once to neutralize the patient's anxiety
posture of objectivity. As a consequence of and extend to him a friendly hand: come
what might be called the Thalesian revo- join me in a bit of good-natured depreca-
lution, men have learned, beginning at tion of the Puritan streak in our culture.
about the time of the Ionian philosophers Yet, as sincerely warm as the therapist
and the Vedantists of the Epic Period,54 may feel toward his patient, there is
to strike a theoretical posture toward the hardly a second when his own objective
world which would enable them to dis- placement in the world is not operative. 56
cover the· underlying principles and In fact, the very act which expresses his
causes by which particular things and friendliness, the horrenjus! and the in-
events can be understood. The scientist dulgent pipe-fondling behavior, also
is not in his world in the same way, as, serves to set him gently but firmly apart
say, a member of a cosmological culture as an elite-member, a tolerant Thalesian
like the Bororo tribesmen, nor as a revolutionary who has made it his busi-
wanderer between cultures like Abra- ness to stand over against a sector of real-
ham, nor even as his fellow culture mem- ity and study it according to the objective
bers, the businessman and the streetcar method.
conductor. Insofar as he practices his sci- The stance of the pure scientist is that
ence, he stands, in Buber's phrase, "over of objectivity, a standing over against
against" his world as knower and manipu- the world, the elements of which serve
lator of that which can be known and as specimens or instances of the various
manipulated. The scientist may so be classes of objects and events which com-
characterized .without pejoration-indeed prise his science. The behavior of the sci-
if he were in his world in any other way, entist, like any other mode of symbolic
he could hardly be a scientist. Yet as a behavior, also implies a dimension of in-
psychiatrist, a "participant observer," he tersubjectivity; this is, of course, the com-
must also re-enter the world in some mode munity of other scientists engaged in the
or other as a person who is friendly and same specialty. Whether he is working
sympathetic, or anyhow appears so, to his with a colleague or alone, publishing or
patient. not publishing, the very nature of the
scientific method with its moments of ob-
1!8 What psychiatrist has not been disturbed by this
pe~chant for 'scientizing' concrete experience? l1li Rp.p. footnote 51.
When, for oXllmplo, a piltiont roport51 that he hilS Q M Much of what the existential analysts call being-
"personality problem" at the office, the psychiatrist in-the-world is overlapped by the social scientist's
may pay proper respect to his patient's knowl- concept of role-taking-although the former also
edgeability and objectivity, but he may also have calls into question the authenticity of a self con-
good reason for wishing that he had said instead: structed only of roles. The notion of role-taking,
"Oh God, how I hate my boss!" moreover, hardly does justice to the radical place-
1!4 A time which Jaspers has called the axial period ment in the world required of anyone who has
in world history. crossed the symbolic threshold.
THE SYMBOLIC STRUCTURE OF INTERPERSONAL PROCESS 51
servation, concept formation, hypothesiz- Canyon for the first time, is unimpressed,
ing, verification, is a making public, a either because she has already "had" it
formulation for someone else. in geology or because she has not yet
But in the psychiatric interview the had it. Such a misplacement of the con-
objective stance of the scientist with its crete is a serious matter because, although
attendant community of other scientists one may dispose of the world through
is overlaid by a second interpersonal rela- theory, one is not thereby excused from
tion, that of the therapist with his patient. the necessity of living in this same world.
This relation differs from that between This patient's mode of life is open to con-
the therapist and his colleagues. The siderable anxiety and he is apt to conceive
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latter is a Thalesian community, which of his predicament and its remedy in the
is set apart from the everyday world by following terms: I am having trouble
its esoteric knowledge of the underlying living in the world which I see objec-
principles of some world phenomena. The tively; therefore I shall apply for relief
relation between the therapist and his pa- to the very source of my world view, the
tient is, or at least might be, very much scientist himself. His seduction by theory
in the world. It might be called a Samari- is such, however, as to place him almost
tan-Jew dyad-one man in trouble and beyond the reach of the therapist. Para-
another man going out of his way to help doxically, it is his veneration of psychiatry
him. which all but disqualifies him as a candi-
The world of the patient and his being- date for psychiatric treatment. For it is
in-the-world.-This patient is in his world a necessary condition of the therapist's
in a way wholly different from that of his method that he abstract to a degree from
therapist, yet it is a way which is heavily the individuality of his patient and see
influenced by the presence of science in him as an instance of, a "case of," such
the world. The patient, let me postulate, and such a malfunction. 58 But the patient
is the sort of person who has also adopted is peculiarly prone to extrapolate a
the objective point of view but has methodology into a way of living. He
adopted it secondhand. He is convinced is pleased when the dream he offers to
that the scientific world view is the right the therapist turns out to be a recogniz-
way of looking at things, but since he is able piece of pathology. He does not con-
not a scientist and does not spend his time ceive a higher existence for himself than
practicing the objective method, his ob- to be "what one should be" according to
jective-mindedness raises some problems. psychiatry. But science cannot tell one
Deprived of the firsthand encounter with how to live; it can only abstract some
the subject matter which the scientist en- traits from a number of people who do
joys, he is even more apt than the scientist manage to live well-he has read no doubt
to fall prey to what Whitehead called the that one should have an "integrated per-
"fallacy of misplaced concreteness" 57 and sonality" or that one should be "creative"
so to bestow upon theory, or what he or "autonomous," and the like. But the
imagines to be theory, a superior reality patient who sets out to become an inte-
at the expense of the reality of the very grated personality has embarked on a
world he lives in. His problem is not, as very peculiar enterprise. An almost in-
is the scientist's, What sense can I make tractable misunderstanding is apt to arise
of the data before me? but is instead, between therapist and patient. It is of
How can I live in a world which I have 1\8 As Sullivan pointed out, psychiatry, insofar as it
disposed of theoretically? He is like the is a science, must have to do with the general and
not the individual. "Let me say that insofar as you
sohoolgirl who, on seeing the Grand are ifitere!l~d. in your unique 111111 v 1l1uallly, 1u CUll-
trllolRtinct.lon to the interpersonal activities whIch
.. Alfred North Whitehead, ScIence tt~ the Modet'l1. you or !lOmeOl~e else can observe, to that extcnt you
World; New York, Macmillan, 1950; p. 75. White- are interested in the really private mode in which
head speaks here of the "great confusion" which the you live-in which I have no interest whatever. The
fallacy has brought to pass in science and philoso- fact is that for any scientific inquiry, in the sense
phy. In my opinion, it has caused greater confusion that psychiatry should be, we cannot be concerned
among lay people and, what is worse, an impoverish- with that which is inviolably private." (Footnote 2;
ment of the very world one lives in. p.19.)
52 WALKER PERCY
this order: The therapist offers the as- self-esteem is offset by Thalesian insights
sistance of the method and technique of into himself and the society he lives in.
his science and hopes that the patient can
make use of it to become the individual The interpersonal process is a multi-
he is capable of becoming. But the patient level one. Some estimation of its immense
in his anonymity labors under the chronic complexity is made possible by realizing
misapprehension that he is trying to be- that there occurs at one level the inter-
come "one of those"-that is, an inte- action between organisms which the be-
grated personality. The patient as good as haviorist speaks of. Conversation is still
asks: Am I doing it right now? Am I not a space-time journey of energy exchanges
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