We know now that inner life can be looked on from two entirely different
standpoints: a purposive one and a causal one, and we have seen that
these two ways of looking on inner life bring about entirely different
aspects of man's inner experience, serve different aims, and stand in
different relations to the immediate needs of our real life. We know
that the one, the causal aspect, belongs to psychology, while the
non-psychological, the purposive aspect, belongs to our immediate mutual
understanding in the walks of life. If the physician is to make use of
inner experience in the interests of overcoming sickness, he must first
decide whether to take the causal or the purposive point of view in
dealing with the patient's mind. This problem is too carelessly ignored
and through that neglect arises much of the popular confusion. Of course
just this carelessness becomes in some ways the ground for apparent
strength for many a superstition and prejudice. If the doors of the
causal mind and of the purposive mind are both open, and the spectator
does not notice that there are two, any trick on thought and reason can
easily be played. Whatever cannot pass through the causal door slips in
through the other, and whatever does not go in through the door of
purpose marches through the entrance of causality. With such methods
anything can be proved, and the most unscrupulous doctrines can be
nicely demonstrated. If we are to avoid such logical smuggling, we must
see clearly which attitude towards mental life belongs properly to the
domain of psychotherapy.
But what we have discussed now leaves little doubt as to the necessary
decision. The physician is interested in the mental life with the aim of
producing a certain effect, namely, that of health. Thus the mental life
of the whole personality comes in question for him as belonging to a
chain of causes and effects; whichever levers he may move, everything is
to be a cause which, in accordance with causal laws, is to produce a
certain change. Inner life is thus, in the interests of medical
treatment, necessarily a part of a causal system. This means the
standpoint of scientific psychology is the only adequate one. The
purposive view of inner life ought not to be in question when the
patient enters the doctor's office.
Public-domain text, read in full here on John Shaqi.
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