Excerpts from Transcripts of Voices of the Elders in Psychotherapy
The following excerpts are from responses to an initial question about what motivated each interviewee to become a psychotherapist. Follow-up questions probed their early upbringing, education and other influences.
RM: The first question is what, in terms of your own personal background, motivated you to become a therapist or to do what you’ve ended up doing?
AE: I started out being a writer and I’ve got a BA in Business Administration, because I thought I would have to make money that writing might not. I worked with various kinds of things to keep my writing going and could make a little money. I had to earn a living. But I kept the writing going – first poetry, which didn’t sell. It was good, maybe it wasn’t. But it didn’t sell.
And then I got into nonfiction and wrote several books up to the age of 28. I think I had about 20 completed manuscripts of fiction, nonfiction, everything under the sun. But the nonfiction, which was about organizational and political issues, wasn’t selling either. So I decided to write on sex, love, and marriage.
My hobby had always been love, as against sex, and I do subscribe to Kinsey somewhat, but he was mainly into sex and not love. I actually did my first thesis on love relationships of college women. A little later Columbia University got uptight about having a student do anything like that. So I had to throw that out.
But in the meantime, as I read hundreds of books and articles on sex, love, and marriage, my friends and relatives came to me with their problems for failing sexually in relationships, and I knew a lot of the answers and could give it to them quickly, especially about sex, as they came to quickly or too slowly. I could tell them exactly what to do. I was an authority, one of the leading authorities, even though I had no training in the field, but I had read everything under the sun.
So then I decided to go into the field. I was 27 years of age or so and decided to get a Ph.D. in psychology because there wasn’t any in sex, love, or marriage, not even marriage counseling.
RM: In those days it might have been a more academicpsychology degree and then psychoanalysis or –
AE: Well, no, no, no. first there was clinical psychology.
RM: Clinical, right.
AE: That had gone back to 1910, but was mainly testing and some psychotherapy, and the main analysis was done by a psychiatrist because the Freudian people here didn’t allow lay people in.
So I got my degree in clinical psychology in 1947 after I wrote a thesis on personality, and I published the first material and several articles in psychological and sociological journals – the American Sociological Review – apparently because my study was of love, interpersonal relationships.
And then I became a psychologist who specialized right from the start in sex, love and marriage problems and who was quite active/directive because the original sexologists were physicians and they told people what to do. People came with a problem and they’d diagnose them and tell them what to do. So that’s what I could do better than they could, because I was specializing in sex, love, and marriage, and it was very active.
But then I foolishly thought that psychoanalysis was deeper and more intensive that other forms of therapy, so I got to analyze and practice it for six years and said, as I say in my workshops today, that psychoanalysis intensively does into every irrelevancy under the sun and misses and the philosophical relevancies. People don’t get disturbed by their early childhood experiences of our culture. They get disturbed by what they tell themselves. So I went back to philosophy after I got disillusioned with psychoanalysis. I went back to philosophy and wedded it to behavior therapy, which I’ve used on myself. Do you want to know how I used it on myself?
RM: Uh huh
AE: I had a phobia of public speaking at 19 before I was famed to be a psychologist. I made myself speak and speak and speak in public, despite my phobia – in vivo desensitivization – and got used to it and good at it, and now you can’t keep me away from the public speaking platform.
But then I decided to get over my fear of approaching women, which I never did, and the Botanical Garden is where I spent 200 days a year and always copped out on – I flirted with them but never talked to them. So I gave myself a homework assignment in June when I was off college. I would go every day to the park and whenever I saw a woman sitting on a park bench alone I would sit right next to her on the same bench and I would make sure I would talk to her in one minute, no debate, no horse shit or anything like that – in vivo desensitization. So I found 130 women sitting on park benches alone and sat next to all of them. 30 got up and waltzed away, but that left me with an even sample of 100.
But anyway, then I gave up psychoanalysis, about the most inefficient form of therapy ever invented, almost as bad as Rogerian therapy, and would help practically nobody and help people get sicker and sicker, nondirective therapy. And then I put the ancient philosophers together with behavior therapy and formulated the first cognitive behavior therapy and a little later added an emotive element. So it’s really the first multimodal therapy that we used, very clear-cut cognition, very direct and very clear-cut, very many emotive techniques and many behavioral over in vivo desensitization techniques.
RM: To begin, if you could, give some indication of what motivated you to become a therapist, and what sort of path you followed to get where you are now. I remember one of the things you said is that you had some early training in the 1950s at the William Allenson White Institute in psychoanalysis, but what you are doing now is quite different from that.
SM: I really don’t know why I became a therapist. Some things are probably very sequel. I was a physician.
RM: So you did not start out wanting to be a therapist when you were young?
SM: I started out wanting to be a tango singer. That’s what I wanted to be.
RM: A tango singer?
SM: Yeah, in Argentina, people sing tangos, and that’s what I wanted to be.
RM: You tried, huh? That’s good.
SM: I suppose that some of these things are functions that one has in all families. If born into a large extended family with hundreds of cousins and parents that are central in the family. The sense of family was important in my extended family. If we needed buttons, we would go to a cousin that sells buttons. If we wanted to buy suits, my uncle Salvador had suits. We travel through a geography that was the geography of family members. So that says something of being a member of a club is very much the form of family therapies. Family ties, and being a Jew also makes me a member of a club, because as a minority, you have a sense of club that you don’t have as a majority. As a majority you are like a fish trying to define water. You don’t define it. As a minority, you do.
RM: This is over and against the Jews in Argentina?
SM: No. It’s Ashkenazi Jews. The fact that we speak Spanish is because the country speaks Spanish. My parents and grandparents came from Russia. I was also an immigrant and that is an important consideration, ethnicity, the culture, also, I think. I started as a pediatrician, doing some pediatric psychology and then I became a psychiatrist. And as I became a child psychiatrist, just by happenstance I came to the United States. I had an internship in a school for delinquent children. I needed a place to live and some money, so I got to stay in a residential place for delinquent children. That directed me to an interest in juvenile delinquency. I then worked with juvenile delinquents in Israel. So, you know, the idea that one starts in a particular way is a construction.
So after all these things then, the component of ethnicity and the component of differences, and the component of culture, form a significant part of why psychoanalysis as I studied it, became insufficient. In my time, if you were curious in psychiatry, you became a psychoanalyst. If not there was not really an identity.
RM: And if you had an M.D., it was much easier. If you didn’t have an M.D. in the 1950s it was still difficult to go to psychoanalytic training.
SM: So I finished psychoanalytic training and began to work again in the school of juvenile delinquents and that then became a confluence of a number of trends: ethnicity, poverty, juvenile delinquency, families. So I became involved in working with black families in Harlem, and so on. That’s it.
R.M. As a reminder, my initial question is what drew you to becoming a psychotherapist?
VF: I was interested both in psychotherapy and in medicine and psychiatry and beyond that in philosophy. And so I found that I could combine both directions of interest, professional interest, in one profession, and that is psychiatry. In order to be a psychiatrist, in a wholistic sense, you have to take into consideration or include in your studies medicine and philosophy.
And so I was interested in psychiatry as something which combines both fundamental interests and this interest has established itself within my personal life. I was, of course, mostly attracted to two classical figures, the founder of psychoanalysis, Sigmund Freud, and the founder of Individual Psychology, Alfred Adler.
R.M. Excuse me a moment. And Jung was not considered at the time a classical figure?
V.F. No. frankly speaking, Jung has always been too vague in his declarations and this isn’t standard, the fact that Jung was occupied with tracing human problems, human psychopathology back to inherited –
R.M. Collective unconscious?
V.F. Yes, collective unconscious. And so it was too vague a concept for me. But he certainly was a great man , no doubt, but much of his importance in the history of psychotherapy was certainly not equal to the importance of Freud.
When I was 17 or 18 in 1922-1923, I had to give a formal lecture in school and I did so under the title “psychotherapy”, totally in terms of psychoanalytic concepts, which I had already read a lot about.
R.M. Were other people using the term “psychotherapy” at that time or were most people using “psychoanalysis”?
V.F. It was psychotherapy. And I gave them a lecture at public school and I talked about psychoanalysis. I talked about the “Freudian Slip”.
Then at the age of 16 I already started a correspondence with Sigmund Freud. And within 72 hours, again and again he immediately reacted at least by sending a post card. “Mr Frankl, I received your letter. Thank you.” And so forth, just acknowledging receipt. But once, and I swear without any ambition attempts of publishing those, I included a one-and-a –half page typed manuscript about psychoanalysis and I was deeply surprised when two or three days later I received a response from Freud. “Mr. Frankl, thank you for your letter. As to the manuscript enclosed, I read it for what it would do to the editor of the International Journal of Psychoanalysis and sent it to him.” And two years later in 1924 it was published there.
And about the same time I noticed on my way to the university from the Anatomic Institute, walking across a small park, a gentleman, an old gentleman crossing my way. And I said to myself, “this guy looks somewhat like Sigmund Freud”, whose photos I had known from newspapers, “but of course it cannot be Sigmund Freud”. He was wearing an old hat and a worn out overcoat. So I said to myself, “let’s follow him and if he makes a turn at the next corner, it certainly must be Sigmund Freud.” That way I became what the Americans call a follower of Freud. And he made the turn, and I stopped him in the middle of the street where he was walking, little traffic, of course at that time, 1924, and I introduced myself. I said “excuse me sir, but I would be honored to speak to Professor Freud”. “Yes, that’s me”. And then I introduced myself formally. “My name is Viktor Frankl” “Wait a minute”, he said. “Viktor Frankl, Shanine street, number 6, apartment No. 25 of Vienna. Is that correct?” “Absolutely”, I said. He remembered from my correspondence the old address. I referred to a book I read about the sex drive and he wished me to write a book review, but I didn’t do that because I was already affiliated in some way with Alfred Adler.