A research blog from the Centre for Resarch Ethics & Bioethics (CRB)

Tag: philosophical health

Can counseling be unphilosophical?

A fascinating paper by Fredrik Andersen, Rani Lill Anjum, and Elena Rocca, “Philosophical bias is the one bias that science cannot avoid,” reminds us of something fundamental, but often forgotten, about the nature of scientific inquiry. Every scientist, whether they realize it or not, operates with fundamental assumptions about causality, determinism, reductionism, and the nature of reality itself. These “philosophical biases” are, they write, unavoidable foundations that shape how we see, interpret, and engage with the world.

The authors show us, for instance, how molecular biologists and ecologists approached GM crop safety with entirely different philosophical frameworks. Molecular biologists focused on structural equivalence between GM and conventional crops, operating from an entity-based ontology where understanding parts leads to understanding wholes. Ecologists emphasized unpredictable environmental effects, working from a process-based ontology where relationships and emergence matter more than individual components. Both approaches were scientifically rigorous. Both produced valuable insights. Yet neither could claim philosophical neutrality.

If science cannot escape philosophical presuppositions, what about counseling and psychotherapy? When a counselor sits with a client struggling with identity, purpose, or belonging, what is actually happening in that encounter? The moment guidance is offered, or even when certain questions are asked rather than others, something interesting occurs. But what exactly?

Consider five questions that might help us see what’s already present in counseling practice:

How do we understand what makes someone themselves? When a counselor helps a client explore their identity, are they working with a theory of personal continuity? When they encourage someone to “be true to yourself,” what assumptions about authenticity are at play? Even the counselor who focuses purely on behavioral techniques is making a statement about whether human flourishing can be addressed without engaging questions about what it means to exist as this particular person. Can we really separate therapeutic intervention from some implicit understanding of selfhood?

What are we assuming about the relationship between mind and body, symptom and meaning? A client arrives with anxiety. One practitioner might reach for cognitive restructuring techniques, another for somatic awareness practices, another for meaning-making conversations. Each choice reflects philosophical commitments about how mind and body relate, whether psychological and physical wellbeing can be separated, and what we’re actually addressing when we work with distress. But do these commitments disappear simply because they remain unspoken?

When we speak of human connection and belonging, what vision of relationship are we already inhabiting? Counselors regularly address questions of intimacy, community, and social bonds. In doing so, might they be operating with implicit theories about what constitutes genuine connection? When guiding someone toward “healthier relationships,” are we working with philosophical assumptions about autonomy and interdependence, about what humans fundamentally need from each other? Can therapeutic work with relationships remain neutral about what relationships fundamentally are?

What understanding of human possibility guides our sense of what can change? Every therapeutic approach carries assumptions about human agency and potential. When we help someone envision different futures, when we work with hope or despair, when we distinguish between realistic and unrealistic goals, aren’t we already operating with philosophical commitments about what enables or constrains human possibility? A therapist who insists that their work deals only with “what’s practicable” seems to be making a philosophical claim; that human existence can be adequately understood through purely pragmatic or practical categories.

How do questions of meaning, purpose, and value show up in therapeutic work, even when uninvited? A client asks not just “How can I feel less anxious?” but “Why do I feel my life lacks direction?” or “What makes any of this worthwhile?” These questions of meaning arise in therapeutic encounters even in approaches that don’t explicitly address them. When such questions surface, can a counselor respond without engaging philosophical dimensions? And if we attempt to redirect toward purely behavioral or emotional terrain, aren’t we implicitly suggesting that questions of meaning and purpose are separate from genuine wellbeing?

Just as scientists benefit from making their philosophical presuppositions explicit and debatable, might therapeutic practitioners benefit from acknowledging and refining the philosophical commitments that already shape their work?

Read the full paper: Philosophical bias is the one bias that science cannot avoid.

Written by…

Luis de Miranda, philosophical practitioner and associated researcher at the Center for Research Ethics and Bioethics at Uppsala University.

Andersen, F., Anjum, R. L., & Rocca, E. (2019). Philosophical bias is the one bias that science cannot avoid. eLife, 8, e44929. https://doi.org/10.7554/eLife.44929

We like challenging questions

What is philosophical health and can it be mapped?

Philosophers such as Socrates and philosophical schools such as Stoicism have had a certain influence on psychology and psychotherapy, and thus also on human health. But if philosophy can support human health via psychology, can it not support health more directly, on its own? A growing trend today is to offer philosophical conversations as a form of philosophical practice that can support human health in existential dimensions. The trend to offer philosophical conversations is linked to a concept of health that is not only about physical and mental health, and which does not understand health as merely the absence of disease: philosophical health.

What does it mean to talk about philosophical health? Given all the health ideals that already affect self-esteem, should we now also be influenced by philosophical health ideals that make our lives feel hopelessly ill-conceived and pointless? No, on the contrary, the stress that human ideals and norms create can be an important topic to philosophize about, in peace and quiet. Instead of being burdened by more ideas about how we should live, instead of giving the appearance of fulfilling the ideals, we can freely examine this underlying stress: the daily feeling of being compelled to live the way we imagine we should. No wonder philosophical practice is a growing trend. Finally, we get time to think openly about what other trends usually make us hide: ourselves, when we do not identify with the trends, the norms and the ideals.

Philosophizing sounds heavy and demanding but can actually be the exact opposite. I have written an essay about how philosophical self-examination, in its best moments, can lighten the mind by unexpectedly illuminating our many tacit demands and expectations. Unfortunately, the essay is not published with open access, but here is the link: The Wisdom of Intellectual Asceticism.

A colleague at CRB, Luis de Miranda, has long worked with philosophical health both as a practitioner and researcher. He emphasizes that human health also includes existential dimensions such as harmony, meaning and purpose in life, and that in order to support wellbeing in these intimately universal dimensions, people also need opportunities to reflect on life. In a new article (written with six co-authors), he develops the concept in the form of a research tool that could map philosophical health: a philosophical health compass. The idea is that the compass will make it possible to study philosophical health in more quantitative ways, for example making comparisons between populations and assessing the effects of different forms of philosophical practice.

The compass consists of a questionnaire. Respondents are asked to consider statements about 6 existential dimensions of life, revolving around the body, the self, belonging, possibilities in life, purpose, and finally, their own philosophical reflection. Each dimension is explored through 8 statements. Respondents indicate on a 5-point scale how well the total of 48 statements apply to them.

I cannot judge how well the 48 statements are chosen, or how easy it is for people to take a position on them, but the statements are more concrete than you might think and it will be exciting to see what happens when the compass is put to the test. Will it be able to measure the wisdom of the crowd, can philosophically relevant differences and changes be mapped? If you want to take a closer look at the philosophical health compass, you can find the article here: The philosophical health compass: A new and comprehensive assessment tool for researching existential dimensions of wellbeing.

Luis de Miranda warns that the compass may risk not only supporting philosophical health, but also undermining it if the compass is interpreted as an ideal that determines the qualities that distinguish good philosophical health. Using the compass wisely requires great openness and sensitivity, he emphasizes. Yes, hopefully the compass will raise many philosophical questions about what philosophical health is, and how it can be studied. For what is the great openness and responsiveness that Luis de Miranda emphasizes, if not philosophical inquisitiveness itself?

Pär Segerdahl

Written by…

Pär Segerdahl, Associate Professor at the Centre for Research Ethics & Bioethics and editor of the Ethics Blog.

Pär Segerdahl; The Wisdom of Intellectual Asceticism. Common Knowledge 1 January 2025; 31 (1): 74–88. doi: https://doi.org/10.1215/0961754X-11580693

de Miranda, L., Ingvolstad Malmgren, C., Carroll, J. E., Gould, C. S., King, R., Funke, C., & Arslan, S. (2025). The philosophical health compass: A new and comprehensive assessment tool for researching existential dimensions of wellbeing. Methodological Innovations, 0(0). https://doi.org/10.1177/20597991251352420

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