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Book Description: In order to understand the rise and continuing persistence of the therapeutic welfare state, with its guiding concepts and metaphors of sickness, disease, syndrome, pathology, addiction, and self esteem, one must understand that the rise to prominence of medicine occurred concomitant to the broader transformation of western societies from agricultural to industrial (manufacturing based) to postindustrial (information and service based) economies. This book examines the nature and scope of counseling and psychotherapeutic practice in modern society. Although this entails a close analysis of the social organization of counseling within medicine, psychology, and the helping professions, the book also looks at the persistence of the therapeutic ethos within American and western culture more generally, that is, within the context of families, communities, schools, churches, the courts, and mass media.

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