Tag Archives: psychiatry

From the ashes of the Holocaust, a gift of lessons for living

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A review of Man’s Search for Meaning, by Viktor E. Frankl

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“Life is not primarily a quest for pleasure, as Freud believed, or a quest for power, as Alfred Adler taught, but a quest for meaning.” This is the conclusion that a young Viennese psychiatrist, Viktor E. Frankl, reached in the course of more than three years in a succession of four Nazi concentration camps, including Auschwitz. The book he wrote in the space of nine days in 1946, originally under another title, morphed over the years into the thin volume known around the world today as Man’s Search for Meaning. It has sold more than 12 million copies and been translated into 24 languages, serving as a source of inspiration and solace for millions of people. Man’s Search for Meaning is frequently cited as one of the most important books of the 20th Century.

Frankl’s almost matter-of-fact description of his years in concentration camps is profoundly moving, the more so because it’s a fiercely personal document and makes no attempt to relate the familiar statistics now surrounding the topic or to place the Nazi phenomenon in historic perspective. Frankl writes simply about how he personally managed to remain hopeful in the face of staggering brutality, including the murder of his young wife at Bergen-Belsen and the death of numberless friends and colleagues. As Frankl relates, their deaths came not only at the hands of SS guards but also, at least equally, as the result of sadistic behavior by the “Capos,” prisoners themselves raised to positions of authority and privilege by the Nazis. The effect of reading this material is searing. Here, God is truly in the details.

However, Frankl’s story about life in the concentration camps is only one of several parts in Man’s Search for MeaningThe edition I read included five pieces written over more than half a century by three different authors: a foreword by Rabbi Harold S. Kushner, an Afterword by William J. Winslade, and three articles by Frankl. The first of these three, “Experiences in a Concentration Camp,” has received the most attention from non-professionals. The second, “Logotherapy in a Nutshell,” is Frankl’s brief summary of the principles and procedures of logotherapy, the “third school” of Viennese psychiatry that Frankl created — an approach that’s often termed “existential psychiatry.” (Somehow, Carl Jung seems to have gotten lost in the numbering system — perhaps because he was Swiss, not Viennese.) Frankl also wrote a “Postscript 1984” bearing the title, “The Case for a Tragic Optimism.” And all this writing fits comfortably into a remarkably thin little volume. 

Intellectually, Frankl’s abbreviated introduction to logotherapy for the layperson, was the most intriguing part of the book. The term itself is derived from the much-used Greek word, logos, which has been applied to all manner of pursuits in philosophy, rhetoric, and religion. Frankl took it to mean something like “meaning.” He rejected the determinism of Freudian and Adlerian psychiatry, insisting that neither approach was useful in treating more than a minority of psychological problems. In his own practice and that of the students under his supervision in a series of top Viennese hospitals, Frankl found that many psychological problems could be easily cured by one or a few conversations between the patient and the logotherapist. Logotherapy involved no years-long sojourns on the analyst’s couch. (In fact, patients sat in chairs.) He cites many cases of ingrained phobic and compulsive behavior that he and his disciples cured by somehow convincing patients not to worry about their behavior. A lifelong stutterer, for example, was cured when he was persuaded to enter conversations unconcerned about stuttering — and the cure was lasting. A fellow physician transcended his depression over the loss of his wife in a single, short conversation with Frankl. The essential truth of logotherapy is as Frankl discovered in the camps: so long as we maintain a powerful commitment to some life goal outside our present circumstances, we can get through practically any privation.

Man’s Search for Meaning should be in everyone’s library. The lessons Viktor Frankl teaches can be applied to challenges in any culture and all walks of life.

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Set up your own religion, and make a billion dollars

A review of Inside Scientology: The Story of America’s Most Secretive Religion, by Janet Reitman @@@@@ (5 out of 5)

When L. Ron Hubbard died in 1986 at the age of 74, one of the world most confounding and controversial public figures passed from the scene — though not from memory.

  • Borrowing a 19th-century approach to mental therapy from psychiatrists Sigmund Freud, Josef Breuer, and others, as the basis for his own self-help method, Hubbard had become psychiatry’s most prominent critic for its dismissal of the therapeutic techniques he claimed could be administered by anyone without the benefit of training in medicine or psychology.
  • Having declared in 1945 when flat broke that he would found his own religion, by the time of his death he had built a worldwide “church” through which he amassed an estate of $400 million—$826 million in 2012 dollars.
  • Never having graduated from college, he styled himself as an explorer, a nuclear physicist, and a philosopher with advanced degrees to match, all the figments of his fertile imagination.
  • A second-rate writer of pulp adventure fiction in the 1930s and of science fiction in the 1940s and 50s, he attained a ranking on the New York Times bestseller list only through his self-help book, Dianetics, published when Hubbard was approaching age 40.
  • Upon his passing, Hubbard had achieved a semblance of immortality, elevated to spiritual sainthood by millions of followers around the world who treated his every written word and every utterance as unchallengeable truth.

Adding to the irony of Hubbard’s existence, this champion of mental health and outspoken opponent of psychiatry spent his last several years, by all accounts, an abusive and paranoiac lunatic whose erratic behavior was moderated only by the very anti-psychotic drugs he had crusaded against for more than three decades.

Thus ended the life of the founder of Scientology.

Since Hubbard had failed to name a successor, a vicious struggle for power in the “church” ensued upon his death. In hindsight, however, the victor in this struggle had been foreordained. Beginning four years earlier, once Hubbard had gone into seclusion, his whereabouts a secret from all but a handful of his staff, a 19-year-old named David Miscavige had begun forcing out all those in Scientology’s leadership who stood in his way. The process resembled nothing so much as the purges launched by Josef Stalin in the 1920s following the death of Lenin. By 1988, the 25-year-old Miscavige stood at the pinnacle, the undisputed leader.

To judge from Janet Reitman’s exhaustively researched and detailed reporting in Inside Scientology, Miscavige has run the multi-faceted Scientology establishment for nearly a quarter-century now with a style that is at once obsessive, rigid, humorless, unforgiving, and dedicated almost exclusively to the pursuit of profit. He appears to exhibit virtually none of L. Ron Hubbard’s good qualities—irresistible charm, a forgiving nature, managerial ability, and a lively imagination—and all of his bad ones, including extreme litigiousness and a tendency to strike out at those closest to him. In recent years, Reitman reports, Miscavige has even demonstrated a clear pattern of severe paranoia much like what drove Hubbard into seclusion, sometimes attacking aides and senior executives with physical violence, at other times submitting them (or anyone else who so much as utters a hint of criticism) to humiliating punishment.

Just as he had engineered the “first Exodus” from Scientology on his drive to power in the 1980s, Miscavige’s extreme behavior led to a second Exodus in the middle of the last decade, driving away most of the senior executives who had managed the far-flung business, in some cases for decades.

As you’re no doubt aware, the Internal Revenue Service classified the Church of Scientology as a religion, exempting all its innumerable affiliates and subsidiaries from the payment of Federal taxes and allowing them to receive tax-deductible donations. However, what you may not be aware—I certainly wasn’t, before reading Reitman’s book—is that the agreement signed by the “church” and the IRS in 1993 came about because the then-Director of Internal Revenue cried chicken in the face of literally thousands of lawsuits filed by the Scientology establishment under Miscavige’s direction and its constant use of private detectives to harass and apparently even blackmail IRS agents and staff.

Janet Reitman’s book began as an article in Rolling Stone magazine but took years to complete. It’s a stellar example of the reporter’s craft, balanced and objective. Yes, balanced: Reitman quotes Scientology officials and long-time faithful adherents at length — and even in the book’s closing thoughts — demonstrating that for some, perhaps a great many, who give over their lives to Hubbard’s “technology” (as he styled it), life can be rewarding. However, there are far too many former Scientologists who have spoken out, especially in recent years, blasting Miscavige’s administration if not the core ideas of Scientology itself, to think of this now six-decade-old movement as anything other than a diversified, multinational business built by a movement that operates precisely like the cult it is so often accused of being.

Like McDonald’s, which earns more revenue from its real estate than from Big Macs and Chicken Nuggets, the Church of Scientology now derives the lion’s share of its income from its real estate holdings around the world. Other businesses contribute additional funds. And yet the “church” itself seemingly continues to gush money, even as the faith is in decline: one of its centers alone, in Clearwater, Florida, the movement’s spiritual headquarters, reportedly was grossing more than $1 million a week as recently as a decade ago. If that’s the case, and hundreds of other Scientology centers in cities and towns around the world remain in business only because they’re profitable (the yardstick the “church” applies), I can’t begin to imagine how large is the asset base ruled today by David Miscavige. If he began 24 years ago with the equivalent of the $826 million that Hubbard left to the movement, surely the “church” today possesses wealth in the billions.

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Filed under Current Events, Nonfiction