The Psychopathology of Shrinks

By Alexander Cockburn in CounterPunch. While we do not agree about Paris Hilton (the use of a bogus psychiatric diagnosis to avoid personal responsibility is reprehensible) the ironies of the impact of Tony Soprano and the misuse of psychoanalytic procedures should not be passed up

Summer’s hot breath draws closer and the psychoanalysts of New York and Boston prepare their patients for the difficult two or three weeks of holiday separation. Traditionally, many Boston shrinks take their seaside weeks on Cape Cod, around Truro, sunning and gossiping while their patients muster on their beach towels a few hundred yards away. The touching scene is duplicated further south around the Hamptons on Long Island.

Undoubtedly beach chat among both analysts and analysands will ripple over the June excitements of the psychoanalytic trade, starting with the gallant efforts of Paris Hilton’s psychiatrist, Dr Charles Sophy, to engineer what her costly but incompetent lawyers failed to do, namely spring her from L.A. County Jail where – given the triviality of her offenses - she is grotesquely pent. But of course the prime topic will surely be the end of the Soprano series which, across the past eight years, courtesy of Lorraine Bracco's Jennifer Melfi – Tony Soprano’s analyst -- has been the biggest boost to the shrink business since Lee J. Cobb starred in The Three Faces of Eve.

Truly comical has been the solemnity with which psychoanalysts across the United States have been deploring the “breach of professional ethics” at a shrinks’ dinner party in one of the concluding Soprano episodes in which the identity of Dr Melfi’s patient as Mobster Tony was disclosed. The rare moments when shrinks aren’t seducing their female patients (70 per cent, in an informal New York survey some years ago) are usually consumed by such indiscretions, a tradition stretching all the way back to the notoriety of the patients trotting up the stairs of Bergasse 19, Freud’s chambers in Vienna.

It’s true that some psychoanalysts were indignant at the way Melfi, chided by her colleagues for enabling a sociopath, promptly dumped the Mafia boss as a patient, the climax of a process identified back in 1999 in the British Medical Journal by Dr Tony David as the collision of “the superego of Melfi’s civilised values and the intellect… with the murky id that is Soprano’s stock in trade.” “The strict ethical principles established by the American Psychological Association”, wrote one APA member furiously, “do not allow for the arbitrary dismissal of a client even if they are sociopathic in nature (unless there is danger to the therapist).”

It so happens that these same “strict ethical principles” of the APA have been the topic of unsparing rebuke which probably won’t be cited much on those holiday beaches. A recent report by the Pentagon’s Inspector General confirms what has been detailed in a number of news stories since 2005 concerning the starring role played by American psychologists and psychoanalysts in devising and supervising torture techniques as administered by the U.S. military in Guantanamo, Iraq and Afghanistan, as well as other secret interrogation centers run by the CIA.

These techniques -- as has been recently described here by Stephen Soldz have been “reverse-engineered” from the Pentagon’s SERE (“Survival, Evasion, Resistance and Escape”) program in which US military and intelligence personnel are taught how to withstand harsh interrogation. Psychologists have always been central to this enterprise and are now similarly central to the use of sleep deprivation, sexual and cultural humiliation and waterboarding in grilling America’s enemies. “Reverse-engineered” simply means the Pentagon is using the techniques to torture suspected terrorists.

In 2002 the Chairman of the Joint Chiefs of Staff concluded that “interrogation methods used were no longer effective in obtaining useful information from some detainees” and, as the Inspector General’s report details, “recommended that the Federal Bureau of Investigation Behavioral Science Unit, the Army's Behavioral Science Consultation Team, the Southern Command Psychological Operations Support Element, and the JTF-170 clinical psychologist develop a plan to exploit detainee vulnerabilities.” The use of dogs, sexual humiliation, and kindred tortures were only a couple of months away.

Amid furious protests from such APA members as Soldz and others the APA leadership has piously maintained that "psychologists have a critical role in keeping interrogations safe, legal, ethical and effective." The Pentagon Inspector General’s Report make clear this claim is ludicrous. So here we have shrinks refining Tony Soprano’s brutish violence, draping his id with the national flag. The August meeting of the APA’s “Council of Representatives” will be stormy as the members vote on a motion introduced by Neil Altman urging "A moratorium on psychologist involvement in interrogations at US detention centers for foreign detainees.”