Abstract
The article is devoted to the epistemological analysis of the formation and development of the concept of “therapeutic culture” within the social and human sciences of the second half of the 20th and the beginning of the 21st century. The study traces the historical-intellectual context of the emergence of this phenomenon, identifies the key discursive frameworks of its theorization, and proposes a conception of five models that enable the comprehension of research on the therapeutic within its socio-historical conditions. Five basic models are distinguished: cultural decline, therapeutic subjectivation, reflexive modernity, emotional culture, and therapeutic cultures. Within the first model, represented by the works of P. Rieff and C. Lasch, the therapeutic is interpreted as a symptom of the crisis of Western culture, undermining traditional forms of morality, social solidarity, and shaping a new type of psychological man. The second model, developed on the basis of the works of M. Foucault and N. Rose, reveals the therapeutic as a contingent technology of power and subjectivation that institutionalizes specific modes of self-narration and the formation of the “entrepreneurial self.” The third model, exemplified in the concepts of A. Giddens and U. Beck, consider the therapeutic as a resource of navigation in the conditions of reflexive modernity and the risk society, where the individual constructs the self as a reflexive project. The fourth model, examined in the context of the affective turn and the works of C. Wright, E. Illouz, and A. Hochschild, emphasizes the emotional dimension of the therapeutic, highlighting its role in the democratization of experience, the commodification of feelings, and the politicization of affects. Finally, the fifth model — therapeutic cultures, proposed on the basis of the works of O. J. Madsen and colleagues, departs from a unitary approach to the therapeutic as a homogeneous phenomenon. This model advances a polyphonic vision of multiple and hybrid therapeutic cultures that function across diverse national, religious, and social contexts and mutually recode one another. Given the breadth and complexity of the problematics, the proposed analysis should be regarded as a preliminary epistemological reconstruction — inevitably limited in its completeness and speculative in a number of conclusions — yet one that provides a foundation for further elaboration.
References
1. Arendt, H., & Kohn, J. (2006). Between past and future. London: Penguin. https://books.google.com.ua/books/about/Between_Past_and_Future.html?id=VZrpAgAAQBAJ&redir_esc=y
2. Beck, U. (1992). Risk society: Towards a new modernity. SAGE Publications. https://books.google.com.ua/books/about/Risk_Society.html?id=QUDMaGlCuEQC&redir_esc=y
3. Beck, U., Giddens, A., & Lash, S. (1994). Reflexive modernization: Politics, tradition and aesthetics in the modern social order. Stanford University Press. https://books.google.com.ua/books/about/Reflexive_Modernization.html?id=KqGRmn29488C&redir_esc=y
4. Cabanas, E., & Illouz, E. (2019). Manufacturing happy citizens: How the science and industry of happiness control our lives. John Wiley & Sons. https://lnk.ua/3R4a16a4J
5. Clough, P. T. (2008). The affective turn: Political economy, biomedia and bodies. Theory, culture & society, 25(1), 1–22. https://doi.org/10.1177/0263276407085156
6. Ehrenreich, B. (2009). Bright-sided: How positive thinking is undermined America. Metropolitan Books. https://books.google.com.ua/books/about/Bright_sided.html?hl=is&id=qR3qwimbnO8C&redir_esc=y
7. Foucault, M. (2007). Discipline and Punish: The Birth of the Prison. In B. Lawrence & A. Karim (Ed.), On Violence: A Reader (pp. 445–471). Duke University Press. https://doi.org/10.1515/9780822390169-058
8. Foucault, M. (2025). Volia do znannia (R. Osadchuk, trans.). Komubuk. (Original work published 1976). (in Ukrainian)
9. Furedi, F. (2013). Therapy Culture: Cultivating Vu. Routledge. https://doi.org/10.4324/9780203098684
10. Giddens, A. (2013). The transformation of intimacy: Sexuality, love and eroticism in modern societies. John Wiley & Sons. https://archive.org/details/transformationof0000gidd_z1i3
11. Giddens, A. (2023). Modernity and self-identity. In W. Longhofer & D. Winchester (Eds.), Social Theory Re-Wired: New Connections to Classical and Contemporary Perspectives (pp. 477–484). Routledge. https://doi.org/10.4324/9781003320609-62
12. Goffman, E. (2017). Asylums: Essays on the social situation of mental patients and other inmates. Routledge. https://doi.org/10.4324/9781351327763
13. Habermas, J. (1991). The structural transformation of the public sphere: An inquiry into a category of bourgeois society. MIT Press. https://books.google.com.ua/books/about/The_Structural_Transformation_of_the_Pub.html?hl=ko&id=e799caakIWoC&redir_esc=y
14. Hochschild, A. (2012). The Managed Heart: Commercialization of Human Feeling. Berkeley: University of California Press. https://doi.org/10.1525/9780520951853
15. Hochschild, A. R. (2018). The time bind: When work becomes home and home becomes work. In D. Grusky & J. Hill (Eds.), Inequality in the 21st Century: A Reader (pp. 803–807). Routledge. https://doi.org/10.4324/9780429499821-63
16. Illouz, E. (2007). Cold intimacies: The making of emotional capitalism. Polity. https://books.google.com.ua/books/about/Cold_Intimacies.html?hl=ru&id=uf2s70bUC-0C&redir_esc=y
17. Illouz, E. (2008). Saving the Modern Soul: Therapy, Emotions, and the Culture of Self-Help. Berkeley: University of California Press. https://doi.org/10.1525/9780520941311
18. Lasch, C. (1991). The Culture of Narcissism: American Life in an Age of Diminishing Expectations. WW Norton & Company.
19. Madsen, O. J. (2014). The Therapeutic Turn: How psychology altered Western culture (1st ed.). Routledge. https://doi.org/10.4324/9781315779584
20. Madsen, O. J. (2020). Therapeutic cultures: Historical perspectives. In D. Nehring, O. J. Madsen, E. Cabanas, C. Mills & D. Kerrigan (Eds.), The Routledge International Handbook of Global Therapeutic Cultures (pp. 14–24). Routledge. https://doi.org/10.4324/9780429024764-3
21. Matza, T. (2012). “Good individualism”? Psychology, ethics, and neoliberalism in postsocialist Russia. American Ethnologist, 39(4), 804–818. https://doi.org/10.1111/j.1548-1425.2012.01396.x
22. Nehring, D., Alvarado, E., Hendriks, E. C., & Kerrigan, D. (2016). Transnational popular psychology and the global self-help industry: The Politics of Contemporary Social Change. Basingstoke: Palgrave Macmillan. https://doi.org/10.1057/9780230370869
23. Nolan, J. L. (1998). The Therapeutic State: Justifying Government at Century’s End. NYU Press. http://www.jstor.org/stable/j.ctt9qgfns
24. Rieff, P. (1966). The triumph of the therapeutic: Uses of faith after Freud. New York, Harper & Row. https://archive.org/details/triumphoftherape00rief
25. Rose, N. (1990). Governing the soul: The shaping of the private self. Taylor & Frances/Routledge. https://books.google.com.ua/books/about/Governing_the_Soul.html?id=lJMOAAAAQAAJ&redir_esc=y
26. Rose, N. (1998). Inventing our selves: Psychology, power, and personhood. Cambridge university press. https://books.google.com.ua/books?id=4O0d3Wxj0sUC&printsec=frontcover&source=gbs_atb&redir_esc=y#v=onepage&q&f=false
27. Salmenniemi, S. (2022). Affect, alienation, and politics in therapeutic culture: Capitalism on the skin. Palgrave Macmillan. https://doi.org/10.1007/978-3-031-10572-2
28. Scott-Baumann, A. (2011). Ricoeur and the Hermeneutics of Suspicion. A&C Black. https://books.google.com.ua/books/about/Ricoeur_and_the_Hermeneutics_of_Suspicio.html?id=0CAEZx5ia1cC&redir_esc=y
29. Shorter, E. (1997). A History of Psychiatry: From the Era of the Asylum to the Age of Prozac. John Wiley & Sons. https://archive.org/details/historyofpsychia0000shor
30. Swan, E. (2010). Worked Up Selves: Personal Development Workers, Self-Work and Therapeutic Cultures. Palgrave Macmillan UK. https://doi.org/10.1057/9780230246768
31. Szasz, T. S. (1960). The myth of mental illness. American Psychologist, 15(2), 113–118. https://doi.org/10.1037/h0046535
32. Wright, K. (2008). Theorizing therapeutic culture: Past influences, future directions. Journal of Sociology, 44(4), 321–336. https://doi.org/10.1177/1440783308097124

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