Lifted from the comments at Cheryl Fuller's Jung at Heart, Greg writes:
I am struck by the manner in which we as a society tend to denigrate the ambiguous. Psychotherapy is, by its nature, full of ambiguity, uncertainty and creativity. It seems that drugs promise the opposite: certainty, solidity and solace in the vain attempt to control that which cannot be controlled.
A question often arises with more thoughtful patients: do drugs and psychotherapy work at cross purposes or are they complementary treatments? The safe answer has more and more come to be that they are complementary treatments, but I don't believe there is a definitive answer that applies to all patients.
I think Greg grasps something essential about the difference in the appeal of each approach.
Uncertainty is a space that can be occupied by anxious fantasy, but the very nature of uncertainty means that it is also an experimental space to explore creative possibilities and solutions. In a depth therapy, we want to open rather than close this space.
Per Greg's comment, do drugs foreclose on uncertainty, reducing the possibilities for creative solutions? Or do drugs bring about greater tolerance for uncertainty, making the creative space more user friendly?
More accommodating to individual difference is the view that there is an optimal range for distress while in therapy. It is impossible to always stay within that range, but disabling anxiety or depression can be so chronic and unremitting that there is no room for creativity. On the other hand, access to at least some tension is necessary to motivate exploration and creativity. There is no point to scratching if there isn't an itch.
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