Like many therapists, I have mixed feelings about the proliferation of psychobabble online. Psychobabble is the (non-)technical term for pop-psychology terms like speak your truth, trauma bonding, gaslighting, and my personal favorite, triggered. “I just feel so triggered when you acknowledge that my ex-boyfriend exists. Could you not do that?”
If we think about this in terms of on-the-ground psychotherapy, a lot of it comes down to how specific words and concepts actually feel to any one individual. For example, while initially I found the whole red flag, green flag, pink flag, beige flag, and green-flag-with-purple-polka-dots discourse exhausting, I’ve grown interested in it. Several of my patients are very invested in understanding the concepts of the red, green, pink, and beige flags (I’m sure there are others), and I’ve realized that they never organically learned — on a felt level — what it means when their whole self and body say things like, “Hmmm… That felt uncomfortable,” or even, “Oh, hell no.”
The whole flag conversation feels like a way of turning to an external set of criteria that will help you out when your internal criteria have their wires crossed.
Near enemies
One of my favorite concepts within Buddhism is near enemies of the truth. Near enemies are emotions that feel very close to the brahmaviharas, but don’t quite hit the mark. I believe there are many more, but some of the traditional ones are these:
Desired Virtue: Equanimity
Near Enemy: Indifference, disconnection
Desired Virtue: Lovingkindness
Near Enemy: Conditional love
Years ago, when I was more within the Hindu/Yogic traditions, I came across the work of Hareesh, or Christopher Wallis. Wallis is someone I genuinely respect within the Western yoga world, and I don’t say that lightly. He translates Sanskrit, and he has in-depth knowledge of the history of yoga and other Indic religious traditions. To be clear, Wallis is coming from the yogic angle, not the Buddhist angle. But years ago, he started a fantastic series on his blog called “Near Enemies of the Truth,” which later evolved into a book. He dissected a wide range of the feel-good phrases in religious and spiritual traditions outside of the monotheistic realm. Phrases like “listen to your heart” and “all paths lead to the same goal” abound. They often land on the hearts and ears of people who are suffering, and they sound like a relief.
But these are trite little bits and bobs that actually reinforce some of the deepest-rooted poisons in Western culture, like individualism and neo-liberalism.
Near enemies in psychotherapy
In the past decade or so there has been an explosion of psychological discourse on social media. Some current trends that make me gag are “lucky girl syndrome” (law of attraction bullshit) and the conflation of random or impulsive thoughts (“I wonder what would happen if I pulled that fire alarm lever?”) with intrusive thoughts. Intrusive thoughts are typically associated with Obsessive-Compulsive Disorder, and may mean that a person cannot stop themselves from thinking about raping someone, or having sex with a family member, or molesting a child. Intrusive thoughts are, to be frank, upsetting as fuck, and no, your sudden impulse to point the hose at your spouse while they walk past you is not one of them.
Many of these trends often proceed from — and then reinforce — a polarization. One example is the phenomenon of self-diagnosis. Many of us see social media videos and posts that have some information about a specific diagnosis — like ADHD, Dissociative Identity Disorder, and others — and because some of the symptoms match our experience, we conclude that we have that mental health disorder.
On the one hand, there are myriad online social spaces that will almost always give a thumbs up to self-diagnosis and point out that competent mental health assessment and treatment is inaccessible to many.
On the other hand, there are healthcare providers who are concerned that people are misdiagnosing themselves, and the providers may reflexively reject the self-diagnosis of anyone who presents saying, “I’m pretty sure I have X.”
Essentially, the trend bifurcates into two oversimplified responses: “Self-diagnosis good,” or “Self-diagnosis bad.”
I have my concerns about self-diagnosis. It’s often attached to a long list of assumptions that I consider all “near enemies”: “speak your truth,” “you are the expert on yourself,” and “the customer is always right” all come to mind. But I also want to make it clear that the confidence many healthcare providers have — that they are the arbiters of accurate knowledge — is what I would also call a near enemy in the psych world. In some ways, we can’t help it. Having had just a taste of differential diagnostic training on ADHD specifically, I’m now keenly aware of how many different disorders can look superficially the same. Once you gain this kind of knowledge, you can’t help feeling frustrated by oversimplifications. But at the end of the day, we have to remember that we are working with a human conceptual framework, with its own rules, its own physics, and it’s not perfect.
I also like that people are becoming much more aware of human psychology. Mental health counseling and addictions treatment are becoming more normalized, and that’s a good thing. Many of the patients I’ve had over the years who self-diagnose and/or analyze their lives with social media are working their asses off therapeutically and emotionally. They are often my hardest working patients, and they’re a joy to work with.
So my position on psychobabble is . . . complicated. I hear it, and my intellect immediately starts arguing with it. But something problematic which proceeds out of a polarization will not be remedied with a polarized response. To wit, it’s complicated. I can’t make a blanket statement that will answer, forever and all time, “Is my husband/wife a narcissist?”
But man, if you come into therapy telling me you’re about to start manifesting abundance in your life, we’re gonna have a talk.
If you made it this far . . . nice! It’s great for your brain to finish reading something this long. Now maybe check in with yourself to see if you want or need to stay on a screen right now. If you do need to stay on-screen right now, maybe think about when you can schedule screen-free time.