
Nietzsche's gift to psychotherapy is quite large. Nietzsche questioned authority in a big way, writing "As long as the world has existed no authority has yet been willing to let itself become the object of critique." He insisted that meaning, purpose and morality could not spring from traditional beliefs and be unquestioned merely because they were traditional. He looked at the genealogy of ideas, engaging in a kind of psychoanalysis of the history of morality, and resolved that humans have responsibility to create their own meanings about morality--and even about existence. Today, the idea of taking a rigorous study of the source of a particular belief sounds like something we would do in a therapist's office, and we owe a debt to Nietzsche, who in his own way said, "Let's take a look at where these things that we believe to be true actually came from."
I have used Nietzsche's work in treatment myself--sometimes asking clients to read his work, sometimes just using quotations such as the one above, or "When we are tired, we are attacked by ideas we conquered long ago." Nietzsche's idea that we are constantly becoming ourselves--shaping ourselves into who we are--is a very useful idea for psychotherapists. According to the review of Ratneer-Rosenhagen's book, she shows how Nietzsche has been viewed by Americans since the publication of his works--both understood and misunderstood.

Tolstoy has certainly given us much that is useful and engaging when it comes to examining our lives and our mental health. His short work The Death of Ivan Ilyich is one such work, which addresses the terror of death as well as the definition of a good life.
Of special note for psychotherapists who are also social workers: Leo Tolstoy was a great influence on Jane Addams, the mother of social work. She admired his ideal of working in solidarity with the "common person," rather than standing apart and working for change from a distance. She was an active admirer of Tolstoy until her death.
My favorite story of Jane Addams is of her visit to Tolstoy. Addams made a pilgrimige of sorts to visit Tolstoy on his estate, where he worked along side of the laborers. He met her dressed in working clothing, and proceded to comment on Addams' dress, criticizing her for wearing fashionable clothing rather that practical working garb. He also critiqued her for not working next to the laborers in Hull House. Addams was taken by this sentiment, and upon returning to Hull House she resolved to bake bread for two hours each day, as a way of living up to Tolstoy's values. However, she quickly saw the folly in this arrangement, writing: "The half dozen people invariably waiting to see me after breakfast, the piles of letters to be opened and answered, the demand of actual and pressing wants–were these all to be pushed aside and asked to wait while I saved my soul by two hours' work at baking bread?" (from Twenty Years at Hull House.) I think this story shows so clearly how Addams' idealism and vision were tempered by her practicality, as well as the beginnings of the professionalization of social work.
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ReplyDeleteOf special note for psychotherapists who are also social workers: Leo Tolstoy was a great influence on Jane Addams, the mother of social work.