Are We Replacing Classic Morality with Therapeutic Ethics?
Disclaimer : I am not talking about clinical consensus on diagnosis here in this post. This thread is more about public discourses and social change.
I've been thinking about how public discourses surrounding mental health now push us as a society to favor Therapeutic Ethics instead of legal and moral framework of ethics.
An argument by Martin (2006) that Therapy Culture (therapeutic ethics was the term he used), overtime, slowly psychologizing virtues and pathologizing vices. I started to reflect about the implication of 'mental healthiness' becoming a new virtue, since before therapeutic ethics gain dominance, we used to rely on sin system which is a spiritual economy (where sin and bad karma are a form of debt). The sin system worked for awhile in theocratic society. We went through a pretty big change after secular moral philosophy gain dominance.
I also think of a paper by Hallett (2025) when he proposed that legal process should made it clear that insanity defence should be valid only if a person clearly lack the ability to control himself, and other 3 criterias (such as lack of knowledge, and inability to reason, and so on).
We also have Thomas Szasz himself in 2011 criticizing insanity defence. Szasz thought that insanity defence take away the human dignity to be judged as a moral agent, and it take away a person to be taken accountable for their misbehaviors.
Although some might think of Szasz's argument here as ableism, I think it could also be anti-determinism. Szasz thought that we should not remove human agency from someone with a mental health diagnosis.
With more and more research trying to connect psychiatric diagnosis with genetics, it makes sense how more diagnosed people start to see how their behaviors and feelings are out of their control. This also extends how diagnosed individuals using the deterministic argument that their behaviors are outside of their control, and misbehaviors (in a case that there is some self-control) are to be categorized as the inevitable results of their diagnosis.
If you read to this point, yeah, I think this is an extension of insanity defence, but now it is also outside of courtroom, while the criteria gets less strict about agency.
Take for example, gossiping. In the sin system, gossiping is an unacceptable behavior. And now we get frustrated people feeling OK with destroying someone's reputation and livelihood while justifying it as a harmless venting, and some might argue that gossiping is a tool by the marginalized to fight authority (which is an ok Anthropological perspective), but a simple fact now is that Therapeutic Ethics might be more dominant in terms of moral claims that other form of ethics.
Take a case of Jason Arday, for example, which is highly politicized to the point that we couldn't possibly know the truth. There is this argument by a group of mental health professionals that claimed that Arday should be immuned to criticism of dishonesty since neurodivergent brains recall timeline and facts differently. While what happened to Arday by the hands of media outlets was truly terrible, to claim that factual integrity should not be expected from someone because they are neurodivergent, stretch the 'extended insanity defence' further. But if we are to look at the situation again without making an assumption based on this deterministic view, it might be rational to judge fairly and finding the truth about the plagiarism claim, and it might be easier to look at behaviors and facts without assuming underlying therapeutic causes.
I take this sort of argument seriously and think about them. What if we as a society is now stretching it too far? People are now more confused about accountability. The moment a criminal was revealved to be bullied, somehow, many would quickly feel sympathetic and express that the criminal in question are a passive victim of circumstances (again, this not to victim blame, but to highlight how misbehaviors and unethical behaviors could now be explained away by this framework).
Therapeutic Ethics also work against someone with a diagnosis who can control themselves (despite protecting those who 'have no control'). Let's say that Jane is in a bad mood 40% of the time she's at work, and she received a diagnosis that fit well with mood-related disorder. But if Jane has some self-control left, that same extended insanity defence effect would not be applicable on her. Jane might be labeled 'toxic' or 'mentally unhealthy' and so on.
Let's think of 3 scenarios for Jane here.
John takes Jane's diagnosis at face value and believe that Jane should be immuned to both criticism and demands for accountability.
James takes the moral route and think Jane still has self-control enough to be held accountable. James see Jane as an adult who can make her own choices, and Jane has a potential of improvement or to feel less suffering.
Jake takes Jane's diagnosis as a stigma. Even when Jane is in a good mood, Jake would assume her to be in a bad mood. Jake interprets Jane's normal human fallable acts as a sign of illness. But Jake thinks Jane should be immuned to both criticism and demands for accountability.
Out if these 3 scenarios, John and Jake might look at Jane through a lens of 'illness' where Jane's actions are outside of her control. James attitude sounds the most judgmental, but it is the only scenario where someone does think of Jane as a human being with agency, and some level of control over her life.
The tension I am facing after thinking on this topic, is how our culture wish to promote mental health as a right, but somehow, the attitude of Therapeutic Ethics itself has a tendency to make someone with a diagnosis believe they will not have agency (or less agency) over their own actions.
Therapeutic jargons are now inflated into everyday use of language. Trauma and abuse are now something almost every individual who are into Therapy Culture claimed to possess. And I think it escalated to the point that some experts even claim that "almost everyone carries unresolved trauma" (Gabor Mate, for example), while they fail to define the term in accurate ways, and trauma ended up being correlated with all sorts of physical conditions such as migraine, hypertension, and so on.
And I began to look at this with awe. Now it's a common belief that almost everyone has unresolved trauma. Now it's common to think of a person with diagnosis as someone who shouldn't be seen as a moral agent. And now we somehow buy into a culture of seeing ourselves as a passive victim of a pre-determined condition.
As much as experts try to maintain an apologetic stance by saying "many mental health conditions are normal human reactions" to combat stigma, there has been a real observable social change from the early 2000s to now in the 2020s, that slowly reduced the role of moral ethicsin favor of Therapeutic Ethics.
As the title suggested. The question here is "Are we replacing classic morality with therapeutic ethics?" and if we are, at what cost?