Дэвид Джон Смаил: Психолог, сын британского общества

British clinical psychologist

David John Smail (23 April 1938 – 3 August 2014) was a British clinical psychologist who was a proponent of a social materialist explanation of psychological distress.

Smail was born in Putney, London, and was raised in Epsom and Wimbledon. After graduating from University College London with a degree in Philosophy and Psychology, he worked briefly in market research before moving into clinical psychology; training at Horton Hospital in Epsom and then at Claybury Hospital in Essex (circa 1961). He was head of clinical psychology services in Nottingham (UK) until 1993 and he retired from the NHS in 1998. Smail wrote several books on the subject of psychotherapy, emphasizing the extent to which society is often responsible for personal distress. Critical of the claims made by psychotherapy, he suggests that it only works to the extent that the therapist becomes a friend of the patient, providing encouragement and support. Much distress, he says, results from current conflicts, not past ones, and in any case, damage done probably cannot be undone, though we may learn to live with it. He doubts whether 'catharsis', the process whereby it is supposed that understanding past events makes them less painful, really works. The assumption that depression, or any other form of mental distress, is caused by something within the person that can be fixed, is he argued, without foundation. He could thus be regarded as part of the 'anti psychiatry' movement, along with R. D. Laing and Thomas Szasz, but where Laing emphasised family nexus as making psychosis understandable, Smail emphasises 'Interest' and power in relation to more everyday distress. These are integral to Western society, and, he suggests, considered out of bounds by most psychotherapists, who are themselves both constrained and complicit in protecting their own interests. Smail also attacks the common conceptions of 'happiness' and 'relationships', pointing out that these are by products of real life, and should not be ends in themselves. He suggests that taking part in real joint efforts is what seems to make people forget themselves and become truly happy, but he also takes a despairing view of how modern society makes it hard to see what the real point of these efforts might be for many people. In Taking Care An Alternative to Therapy (1987) Smail, after many years as an active psychotherapist, cast doubt on the supposed mechanisms by which therapy is claimed to be effective. While he does not condemn therapy as useless, he suspected that it is only effective to the extent that the therapist becomes a true friend to the client, involved in their world. Catharsis, the supposed process by which people are 'cured' of 'mental illness' once they gain 'insight' into their problems, is illusory, and therapists are to a large extent magicians involved in wishful thinking. In this book he recommends that we 'take care' in our involvement in life, and of others we are involved with. In later books, such as his Power, Interest, and Psychology, he has much more to say of the embodied nature of individuals in society, and the extent to which we have any control at all over our lives. Interest and power, he says, are what determine events in our lives more than we are allowed to acknowledge, individuals generally have limited agency, and 'willpower' is a fiction This book began as Power, Responsibility and Freedom, freely available on the internet, and Smail had some interesting observations on the relative merits of a (living) internet versus 'proper' (dead) publication. The former, he suspects, is not necessarily conducive to the study of a detailed work, and the demands of the medium for constant updates can be tiresome, especially when there is no real evidence that the work is reaching its intended readership. Smail died on 3 August 2014 at the age of 76.

The Treatment of Mental Illness Science, Faith and the Therapeutic Personality. University of London Press, 1969. Psychotherapy: A Personal Approach. [1978] Dent, 1982 (revised). Illusion and Reality The Meaning of Anxiety. [1984] Constable, 1997 (revised). Taking Care An Alternative to Therapy. [1987] Constable, 1998. The Origins of Unhappiness A New Understanding of Personal Distress. [1993] Constable, 1999 (revised). How to Survive Without Psychotherapy. [1996] Constable, 1998 (revised). The Nature of Unhappiness. Robinson, 2001. Why Therapy Doesn't Work. Robinson, 2001. Power, Interest and Psychology Elements of a Social Materialist Understanding of Distress. PCCS Books, 2005.