The Future of Humanistic/Existential Psychology: A Commentary on David Elkins’s (2009a) Critique of the Medical Model
Why this work is in the frame
A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.
Bibliographic record
Abstract
In the increasingly competitive market place of mental health providers, where do we, the humanistic/existential psychologists (HEP), position ourselves? With positive psychotherapists and happiness coaches gaining grounds in the domain of personal growth, and neuroscientists and mindful meditation dom-inating the field of spirituality, in what areas can we stake out a claim of being a major player? What are the compelling characteristics of our brand of psychotherapy? These questions swirled in my head as I pondered over David Elkins’s (2009a) provocative article. Basically, I agree with Elkins’s case against the medical model and his critique of the restrictive and biased nature of evidence-supported treatment (Elkins, 2007, 2008). I can also fully under-stand his displeasure toward the health insurance industry. But here is our conundrum: We may be right on psychological, therapeutic, methodological, ethical, and moral grounds, but we still fail to gain wide acceptance by main-stream psychology. The challenge confronting us is how to overcome this barrier without compromising our core convictions. I differ from David more on matters of strategy and stance than substantive issues. For both pragmatic and theoretical reasons, I prefer a more open and inte-grative stance in the spirit of Kirk Schneider’s (2008) existential-integrative psychotherapy. We also need to develop a new coordinated strategy to fulfill
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Full frame distilled prediction
Teacher imitationNot calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.
Codex and Gemma teacher scores by category
| Category | Codex | Gemma |
|---|---|---|
| Metaresearch | 0.002 | 0.000 |
| Meta-epidemiology (narrow) | 0.000 | 0.000 |
| Meta-epidemiology (broad) | 0.001 | 0.000 |
| Bibliometrics | 0.000 | 0.000 |
| Science and technology studies | 0.000 | 0.001 |
| Scholarly communication | 0.000 | 0.000 |
| Open science | 0.002 | 0.000 |
| Research integrity | 0.001 | 0.002 |
| Insufficient payload (model declined to judge) | 0.002 | 0.000 |
Machine scores (provisional)
The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.
Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.
score_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it