I'm going to let James Mumford make this argument using his 2022 New Atlantis article entitled "Therapy Beyond Good and Evil: A nonjudgmental psychology is failing patients who need to hear hard truths." I discuss Mumford's essay in The Shape of Joy to raise the point about the role of value in mental health.
I’m in psychiatric hospital in central London and the psychologist is taking us through a “values-clarification exercise.” I’m interested in what the psychologist has to say about values, because I used to teach ethics, at the University ofVirginia. But now I’m the student, because I’m the patient. And I’m about to be given a strong dose of moral relativism. I’m about to be told that there are no objective values and, by implication, that good and evil are merely projections of our minds. This, apparently, is going to make me feel better. “What does the word ‘values’ mean to people?” the psychologist begins. “What are some of our values?” Unfazed by an unresponsive group — a circle of depressives is not always the most forthcoming of audiences — the psychologist circulates a handout. It’s a list, including the following words:SwimmingHonestyWealthHonorSkiingAn odd jumble of hobbies and virtues, the psychologist asks us to circle the “values” we particularly identify with...Presented with the handout listing various values, we’ve been asked to circle the ones that resonate with us. Next, the psychologist, with a flourish, ventures an observation. Each of us, he says, has different values. What’s more, we often disagree about our values. “So,” he concludes, “values are subjective.” And our recovery, our restoration to sanity, hinges upon our willingness to choose our own values. He lets us know that while morality “is externally imposed by society,” it is imperative that we be the ones to pick which ideals, morals, judgments, precepts, and rules to live by.
Who would deny that it’s vital that my values be ones I’ve properly signed up for rather than had simply foisted upon me — by my parents, my teachers, my culture? But this truism — that I will more likely be able to live out a set of values if I have consciously adopted them — doesn’t exhaust the sense of what’s being said. My psychologist is implying something more radical when he insists on the pivotal importance of choosing your own values. When he claims that “values are subjective,” he is painting a picture of the world according to which the only values that exist are ones we have created. To say values are subjective is to say there is nothing independent of our own minds that answers to our talk of right and wrong. It is to say that our ethical beliefs do not track a reality which is “there anyway.” According to his picture, values are determined, not discovered, and selfhood — what it means to be a person — is therefore fundamentally about choice, not vision. It is about picking a course of action arbitrarily, not about seeing a reality that transcends you — goodness — and integrating with it.
It may seem that the relativism on offer here is just professional etiquette. In a pluralistic society, isn’t it right that psychologists stay neutral and refuse to impose particular moral systems, refuse to foist upon us what the political philosopher John Rawls named “comprehensive conceptions of the good?” Isn’t the psychologist, taking me through my values-clarification exercise, merely showing restraint in keeping with his discipline? Isn’t he simply applying the golden rule that therapists must suspend judgment? “The first duty of a psychotherapist,” writes Frank Tallis in his recent book The Act of Living, “is to create a safe space, a situation where difficult and sometimes dangerous truths can be articulated and explored without fear of judgment, rejection, or condemnation.” Indeed, wouldn’t any other approach open up the whole enterprise to abuse, returning us to an age when the cause of lunacy was simply put down to “laxity of morals?”
I don’t think so. I think the psychologists are up to more than suspending judgment. I think they really believe they’ve got straight on what is and is not the case in the world, that they’ve really uncovered the truth of the matter, which is that there are no moral facts, that good and evil are not part of the fabric of the world. This is not just wariness on psychology’s part. It’s radical skepticism. The idea that “we as therapists shouldn’t talk about right and wrong” has become the very different idea that there is no right and wrong in the first place.
Psychiatrist and Holocaust survivor Viktor Frankl insisted that we’ll never be able to treat mental illness properly until we acknowledge the existential dimension of depression. “Man’s search for meaning,” he wrote in 1946, “is the primary motivation in his life.” So long as we conceive of a patient’s suffering as resulting solely from a chemical imbalance that needs to be fixed with medication, we stand little chance of helping him. Even the most efficacious pharmacological regimen will not quell someone’s deepest questions about how to live.
Now in one way my psychiatric hospital grasps this, making space as it does for patients to make inquiries about which values are worth pursuing. But in another way the hospital’s therapeutic regime forecloses that search for meaning by denying the reality or importance of objective, transcendent truths by which men and women have historically navigated their lives. The provision of Acceptance and Commitment Therapy whets patients’ appetite for meaning only to deprive them of real nourishment by extracting the very substance on which meaning depends: its orientation toward the absolute.
So here’s what I say to my psychologist. “The care I have received in this hospital is superb. The support, the understanding, the empathy. I am treated by your team as if I have irreplaceable value. When I am feeling worthless, you don’t act as if values are subjective. You don’t reply, ‘Yes. You’re right. If you feel worthless, you are worthless!’ No, you and your team always speak and act in ways that imply fundamental disagreement with my estimation of myself. Valuing my worth, you betray your proclaimed belief in the subjectivity of all values. You embrace truths far beyond any of our mere preferences.”
What would it look like for psychologists to preach what they practice, to accommodate the intrinsic value they presuppose their patients to have? It would not, I think, necessarily entail a return to Victorian-style moralism...Rather, it would see psychologists refusing to rule out from the outset a transcendent good that is the natural end of “man’s quest for meaning.” It would see psychologists encouraging patients to search for values beyond themselves, but making that quest for themselves. It would see psychologists echoing Iris Murdoch’s challenge, that each of us make “an attempt to look right away from self towards a distant transcendent perfection, a source of uncontaminated energy, a source of new and quite undreamt-of virtue.”
There are values and obligations and demands out there in the world that I may never have assented to, that simply come with the territory of being human. Any psychology that is going to be therapeutically beneficial, that is going to help people attain personal growth and become good again, will help us acknowledge and reckon with values — with truths — we may never have circled in an exercise.