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Family, Phenomenology and Schizophrenia in R.D. Laing1
DANIEL BURSTON

 

Laing invariably put his own spin on things, and his debts to Buber and Bateson are certainly worthy of further discussion. But we cannot do them justice here, so suffice it to say that his greatest single debt was to Sartre. Sartre was dissatisfied with Marxist theories of ideology, "class consciousness", and so on, and because of existentialism's characteristic individualism, its distrust of collectivism, and Sartre's anti-essentialist stance, Sartre developed a concept of human groups as closely interdigitated series of individuals. He used the word "series" deliberately to avoid treating a group as a unified or singular entity, thereby losing sight of the individuals who compose it.

Sartre's modifications to historical materialism hinged on the idea that group process, as it is nowadays called, is really an alienated apperception of concerted individual practices. So what appears to happen in a group anonymously, without anyone understanding or intending it, can ultimately be traced back to the actions and intentions of those who compose it, within the framework of constraints created by scarce material resources and the simultaneous efforts and desires of all those who comprise a group, whether they are competing or collaborating toward some common goal (Laing & Cooper, 1964; Burston, 1996).

Though quite schematic and deficient, even for the purposes Sartre intended, this nominalistic theory of groups as complex, contradictory multiplicities appealed to Laing because it avoided positing the existence of 1) a collective subject, a collective unconscious or "group mind", or 2) a set of group "dynamics" separate from and superordinate to the individuals who compose it, or 3) regulatory structures or systems -- analogous to organic ones -- that channel energy and information, operate on the basis of inertia, homeostatis, etc.

Leaving Buber and Bateson aside, then, the key elements of Laing's "social phenomenology" are derived from Husserl and Sartre. From Husserl, Laing adopted the habit bracketing off theoretical presuppositions, rather than allowing them to contaminate what he actually observed. From Sartre he adapted a method for analyzing anonymous or unconscious group processes which avoided endowing the group itself with subjectivity, or an essential nature or structure that is separate or super-ordinate to the people who actually compose it. These influences are vividly apparent throughout Sanity, Madness & the Family, where Laing (and co-author Aaron Esterson) wrote:

The judgement that the diagnosed patient is behaving in a biologically dysfunctional (hence pathological) way is, we believe, premature, and one we hold in parenthesis.

Although we ourselves do not accept the validity of the clinical terminology, it is necessary to establish . . . that the persons whose families we are describing are as 'schizophrenic' as anyone is. By 'schizophrenic' we mean here a person who has been diagnosed as such and has come to be treated accordingly. . . We reiterate that we are not using the term 'schizophrenia' to denote any identifiable condition that we believe exists 'in' one person. However, in so far as the term summarizes a set of clinical attributions made by certain persons about the experience and behavior of others, we retain the term for this set of attributions. . .

After recording these attributions, we have then described the family relationships phenomenologically. Neither organic pathology, nor psycho- pathology, nor for that matter group pathology is assumed to be or not to be in evidence. The isssue is simply bracketed off ... (Laing & Esterson, 1964, pp.18-19)

In addition to "bracketing" extensively, Laing and Esterson reflected on family processes in the following way.

If one wishes to know how a football team concert or disconcert their actions in play, one does not think only or even primarily of approaching this problem by talking to the members individually. One watches the way they play together.

Most of the investigations of families of 'schizophrenics', while contributing original and useful data to different facets of the problem, have not been based on direct observation of the members of the family together as they actually interact with each other.

The way in which a family deploys itself in space and time , what space, what time, and what things are private or shared, and by whom -- these and many other questions are best answered by seeing what sort of world the family has itself fleshed out for itself, both as a whole and differentially for each of its members.

One does not wish, however, to study the system-properties of a family abstracted from the experience and actions of the individuals whose continued living together in a particular way alone guarantees the continuance of this system (ibid., pp.21-22).

Phenomenologically, a group can feel to its members like an organism; to those outside it, it can appear to act like one. But to go beyond this, and maintain that, ontologically, it is an organism, is to become completely mystified . . .

The concept of family pathology is, therefore, we believe, a confused one. It extends the unintelligibility of individual behavior to the unintelligibility of the group. It is the biological analogy applied now not just to one person, but to a multiplicity of persons . . . Not the individual but the family, therefore, needs the clinician's services to 'cure' it: the family (or even society at large) is now a sort of hyperorganism with a physiology and pathology that can be well or ill. One arrives at a pan-clinicism, so to say, that is more a system of values than an instrument of knowledge (Laing & Esterson, 1964, pp. 22-23).

In other words, clinicians who speak of diverse kinds of family pathology are not really analyzing at all. Instead, unbeknownst to themselves, they are analogizing , and mistaking their metaphors for existential actualities. These metaphors may be illuminating and instructive, up to a point, but taken at face value they are misleading, and apt to conceal all kinds of prescriptive value judgements under the guise of disinterested clinical observation and description.

These reflections enable us to discern the areas of convergence between Laing and other family theorists, and the areas where they diverge. Like Goffman and Bateson, and like most family theorists, Laing insisted that even in deeply disturbed patients, the locus of disturbance does not reside within the brain or body of the individual, or even in their "unconscious". On the contrary, the irrationality of the identified patient often becomes vividly intelligible in light of the various pressures, constraints and anomalies of communication to which he (or she) is subject to in his (or her) family of origin, and/or the custodial institution(s) in which they are subsequently enmeshed. To illumine these pressures, constraints and anomalies, it is necessary to study the family itself in action, and not just to interview individual members.

However, in dramatic contrast to his colleagues in family therapy, Laing eschewed organicist or mechanistic metaphors for group processes. There is no such thing as "family pathology", because a family is not an organism. Nor is it a machine. In the final analysis, it is a system of relations that is constructed collaboratively by all members, even in situations of dire conflict and mutual misunderstanding.

As a result, readers of Sanity, Madness and the Family will search Laing's work in vain for any taxonomy of family ills, for any (overt or hidden) prescriptions as to how a "healthy" family functions, what constitutes a "healthy" or a "normal" family, etc. In the absense of any prescriptive "models" of family functioning to illustrate or promote his ideas , Laing's readers had to content themselves with some riveting case histories and a somewhat sketchy outline of a laborious methodology that dwells on the nuances of interpersonal experience -- a methodology which, as Laing freely conceded, is problematic in some respects. Some of the problems Laing was aware of are discussed in the introduction to Sanity, Madness and the Family, and others are merely hinted at in The Oxford Companion to the Mind , where he noted that

The philosophy, anthropology, sociology, and psychology of interpersonal relations are all in an unsatisfactory state despite theapercus , insights, and intuitions of Hegel, Dilthey, Buber, Goffman, Husserl, Freud, Schutz, Marx, Nietzsche, Scheler, Heidegger, Sartre, Foucault, Merleau-Ponty, Bateson, MacMurray, and others, in and out of phenomenology, who have influenced Laing...

...the problems of method are as vexing as they are unresolved. In some instances they have not yet even been explicitly formulated. (Laing,1987, p.417).


Page 1.. 2.. 3.. 4.



"Families, Phenomenology & Schizophrenia in
R.D.Laing", Nov. 3, 1998.
Center for the Philosophy of Science
817 Cathedral of Learning, University of Pittsburgh


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