I won’t deny that it was a treat to see The New Yorker finally take on group therapy, even if accidentally. The New Yorker magazine, of course, is about as ubiquitous in New York City psychotherapy offices as Oriental rugs, over-sized plastic paddles stamped “MEN” and “WOMEN” attached to tiny keys, and the static drone of those off-white, domed noise-making machines. Every issue seems to have at least one therapy scene, sketched out in that New Yorker style and with that particular New Yorker “everyone in New York is in therapy, so we all get the joke” humor.

It is quaint how the scenes inevitably display a pen-grasping therapist seated behind (and just out of view of) a reclined patient. In NYC, at least, life does imitate art; these scenes are barely updated dioramas of that famous treatment room in Vienna inhabited by the intellectual grandfather and great-grandfather of the therapists depicted. Either because psychoanalysis is still the therapy mode du jure among The New Yorker set, or because it’s just so darn fun to pick on, it’s always there in the waiting room to provide a smile when you’ve got just enough time to flip through the cartoons before your therapist beckons.

Ha! That’s rich!

Wouldn’t it be hil-arious, this joke implies, if your therapy were crowdsourced just like all those techies are doing with programing and design?

Well, I’m not sure it’d be hilarious or not, Mr. Sipress, but it sure makes for great therapy.

Crowdsourcing

Crowdsourcing is a relatively new term for a very old idea. Posting a series of head shots on Facebook with the caption, “Which ones do you like best?” is a ubiquitous contemporary example of crowdsourcing. In the pre-social-networking Stone Age it was a simple show of hands in a decision making process or a, “Hey, which skirt looks best for my date tonight?” Crowdsourcing is used in everything from graphic design to computer programing. Probably the most important and successful example of crowdsourcing is Wikipedia, the online encyclopedia where people from around the world collaboratively create and edit content.

So, crowdsourcing? In therapy?

You bet. Just as having a network of opinions can be helpful online, having a therapy group can be a powerful creative force in building your life. Having a group provides you with more question askers, thought provokers, system testers. You’ve got more to work with. Even when your therapist is terrific, group therapy gives you so many more options.

Not just any crowd

You wouldn’t just leave it up to your friends on Facebook or Twitter to pick the new logo for your business. There’s an art to taking in and making use of the opinions of a well-informed crowd. In group therapy, you’re still the one making decisions about how you live your life. And, the stronger your relationship with your crowd (the therapy group) the more likely it’ll be that their help is useful.

Group therapy: An innovation?

Much like crowdsourcing, group therapy is both new and old. On the one hand, getting help from a group of people (a family, a team, a tribe) is about as old as humankind. On the other hand, group therapy as a model of therapy has come and gone over the years, but has increased in popularity again over the last 15 years. Which is to say, in spite of The New Yorker’s stance, it’s hardly new.

But I’m pleased to see The New Yorker catching up. I hope this means there’ll be more slandering of group therapists in future issues. Even if it means being subjected to more comedic ridicule, I can’t wait!

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Incrementalism

by Matt Lundquist on January 16, 2012

I must have heard Martin Luther King, Jr.’s I Have a Dream speech a hundred times. Today, as we celebrate his birthday, I heard something new:

This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism. Now is the time to make real the promises of democracy. Now is the time to rise from the dark and desolate valley of segregation to the sunlit path of racial justice. Now is the time to lift our nation from the quick sands of racial injustice to the solid rock of brotherhood. Now is the time to make justice a reality for all of God’s children.

I realized this time just what a hurry Dr. King was in. While he speaks of it directly here, that rush of urgency is in every word he’s spoken.

No doubt he had good reason to be. A lifetime is simply too short (his especially). There’s too much work to do.

I often wonder, when I meet a new patient, and I hear a description of years of anguish, “Why aren’t you more frustrated? Why aren’t you in a bigger hurry?” There’s something about the prolonged agony of unhappiness that perpetuates an inexplicable stagnation; it keeps you stuck.

There’s a lot of “help” that seems designed to slow us down. Just as moderates said to King:

It’ll take time, Dr. King.”

Or, “You’ve got to start small, Dr. King.”

Or, “Don’t be in too much of a hurry, Dr. King.”

He compared this “help” to a psychiatric drug: “This is no time to engage in the luxury of cooling off or to take the tranquilizing drug of gradualism.”

Aren’t you tired of taking your time?

Hurry up.

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On ease and happiness: What history can teach us about therapy and depression

January 16, 2012

On Christmas morning I happened to catch CNN’s Fareed Zakaria interviewing historian David McCullough, loosely on the topic of a McCullough’s new book about the wave of 19th Century American emigrants to Paris and more broadly on the topic of what we can, at our present moment, learn from history. I was not expecting a [...]

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Beyond managed care: Out-of-network psychotherapy in NYC

January 9, 2012

For the purpose of this conversation, psychotherapists in NYC (the market is quite different elsewhere) can be roughly divided into two camps: those who accept insurance as an in-network provider and those who do not. When we talk about psychotherapists, by the way, we’re including a whole lot of folks: psychologists, psychiatrists, clinical social workers, [...]

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People hate me on Yelp

January 2, 2012

Google Local, too. No kidding. A friend of mine brought it to my attention a few weeks ago, as delicately as she could: “You have a Yelp problem.” It took a moment for it to click. I hadn’t even remembered that I was on Yelp, so the concept of having a problem with Yelp was [...]

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An activity-ist walks into a bar

January 1, 2012

I’ve talked quite a bit here about the critical question in shaping a life being whether you’re an activist or a passivist. What I should have done was use two made-up words: Activity-ist and passivist. The position I mean to advocate is really one that places what we do (activity) at the center of a [...]

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“Astoria for grief” and the managed-care swap meet

October 31, 2011

You can imagine my momentary confusion on spotting this subject line from an unfamiliar email address: “Astoria for grief.” The title reminded me of one of those 1970′s only-in-NYC thrillers, like The Taking of Pelham 123, or The French Connection, or even the Spider-Man series, and I began to envision a hospice-worker protagonist rushing to [...]

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Diversifying your (relationship) portfolio: Pop songs lie

October 25, 2011

I’m not much of a stocks and bonds guy, but practicing therapy not far from NYC’s financial district, I’ve learned a few things about investing from some of my patients. Among the more straightforward pecuniary principles is the notion of a diversified portfolio. The idea is that, no matter how psyched you are about a [...]

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Optimism v. pessimism? Bo-ring! The real question is, are you an activist or a passivist?

October 20, 2011

Every now and then I get accused of something truly awful: Being an optimist. I object (strenuously) not because the real story is that I’m a pessimist (I’m not) but because the very premise of a categorization of optimist versus pessimist is grounded in passivity. The assumption in the very asking of the question is [...]

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Emotions are like 4 year-olds

October 11, 2011

I love my niece. She’s brimming with curiosity, she’s generous with hugs, she’s silly and sincere all at the same time. Her parents love her too, of course. But they do not, under any circumstances (and as much as she may plead) let her drive. Sometimes she gets a choice about whether or not she [...]

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