Andrew Hartz: How Activism Took Over Therapy
KEY MOMENTS
0:00 – Intro — Andrew Hartz and the Open Therapy Institute
3:23 – What is an activist therapist? The APA call for papers read aloud
6:24 – APA's division on psychoanalysis: 90 talks, 800 attendees, zero mention of therapy
8:29 – APA accredited a drag show for continuing ed credits
10:08 – Keynote speaker co-translated Communism for Kids, wrote Abolish the Family
11:53 – Lou's SJW Therapist sketch — and how close to reality it actually is
12:21 – Diagnosing people by their race — a white girl's anxiety vs. a black girl's anxiety
13:17 – The intake form that starts with pronouns — and what that signals
14:01 – Patient referred out for thinking she didn't get a fellowship due to affirmative action
14:41 – Who's paying for this? Insurance, premiums, and activist therapy
16:16 – "Evidence is Western" — activist therapists and why they reject research
17:25 – When did therapy start going this route? 2014, accelerating through 2019
19:47 – Lou's SJW Therapist video: January 2019 — right on time
20:12 – Mental illness as identity — secondary gains and how compassion backfires
21:33 – Test anxiety, extra time, and why rewarding symptoms makes them worse
23:52 – Lou used to wet himself before tests. He is not ashamed.
26:06 – The incoherence of activist academia — can anyone read this sentence?
27:23 – "Counter the extractive relations of cis heteropatriarchal racial capitalism" — a real sentence
29:54 – Lacan, oracular interpretations, and how academic nonsense writing spread
33:45 – If you have to build a birdhouse, the sentences have to make sense
36:36 – Greg Lukianoff, CBT, and what good therapy actually looks like
38:10 – Anger, dysregulation, and slowing down the loop
41:53 – What therapy cannot do: eliminate human emotion entirely
42:44 – Lou and the spiral — and why self-control matters
45:32 – Lou volunteered to coach soccer. He doesn't know how to play soccer.
49:30 – Humor as a mature defense — why patients who laugh have better outcomes
52:56 – Was it Good Will Hunting? What Robin Williams got right about therapy
54:55 – AI therapists — what they can replace and what they can't
57:17 – The danger of chatbot therapy for people who struggle with real relationships
58:03 – Open Inquiry in Mental Health journal and how to find a vetted therapist
ABOUT THIS EPISODE
Psychologist Andrew Hartz, founder of the Open Therapy Institute, a national directory of vetted, non-activist therapists, joins Lou to talk about what an activist therapist actually looks like, how the APA accredited a drag show for continuing ed credits, and clinics diagnosing patients differently based on their race.
We also get into patients being referred out for having the wrong politics, how mental health activism backfires on the people it claims to help, why it all started earlier than you think, Lacanian nonsense writing in academic psychology, what CBT can and can't do, humor as a mature defense mechanism, why AI therapists worry Andrew, and Lou volunteering to coach first-grade soccer despite never having played the sport.