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The second book, 'How to Survive without Psychotherapy', re-applies the abstract theory to psychological therapy and mental distress, starting with an astute, but common-sense, analysis of what therapy cannot be expected to achieve. It then uses 17 brief case histories to show that emotional distress (depression, anxiety, compulsion), wrongly blamed on the sufferer or others, is often really an effect of larger powers in society. Finally it takes a hard look at what 'should, can, and could' be done. Although it is not a book designed solely, like most self-help books, to provide hope, as an ex-depressive, I found it enlightening and rewarding, and I know it matches many others' experience as well. My only criticism is that Smail is sometimes unnecessaily harsh on cognitive approaches, arguing that changing thinking does not change external reality (yet at the same time he notes the anguish caused by wrongly viewing oneself as "abnormal").
Not just of use in systemic/interpersonal therapy, this work also deserves to be taken seriously in philosophy of mind. And in my opinion, any mental health professional who has not come across Smail's ideas does not have a realistic grasp of their subject.
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