Académique Documents
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David Flaxer
Seattle University
LEVINAS AND PSYCHOLOGICAL PRACTICE 2
Abstract
movement between these existentially lived states as a paradigm for treating the suffering
patient. In particular, it addresses the ability of the patient to break through the barrier of
interiority, and to interact with the world, despite their own internally focused suffering. The
objective of the therapeutic encounter is to help enable the patient to not only tend to herself but
also to grow resilient enough to assume the responsibility of caring for the Other. The therapist
serves the patient by providing his gifts, which includes the idea of radical intersubjectivity, a
form of ethical practice that is also a metaphysical relation. Within the forum of the therapist-
patient encounter, three ethical practices that are harmonious with Levinasian philosophy are
suggested. These include: self disclosure of the therapist to the patient, allowing the patient to
teach the therapist, and the enactment of the ethical relation through the practice of radical
that both fields of thought are required for the therapeutic encounter to be meaningful.
Levinas asserts the concept of interiority and exteriority as a basic component in his
philosophy. The world of Others is a world of ethical commitment and responsibility. Where
ever we go in the world, present in our human interactions, Others in their suffering call to us.
Our nature is such that we cannot truly evade their cry. With such insistent demands, insatiable
in their neediness, where can we go for respite and peace, to care for the egoist “I” that is also in
our nature, and to enjoy the fruits of our labor? Levinas observes that it is in the place of
interiority that we go for required renewal and enjoyment. “Egoism, enjoyment, sensibility, and
the whole dimension of interiority —the articulations of separation—are necessary for the idea
of Infinity, the relation with the Other which opens forth from the separated and finite being”
(Levinas, 1969, p.66). Separation can be achieved by a physical partitioning of a space that is
personal and private and that physical space is called home. But interiority may also be
interpreted as a psychological haven, where the separation of the “I” from the exterior is secured
The home is a place of refuge from the responsibilities of the world. As Levinas (1969)
writes, “To be separated is to be at home with oneself” (p. 147). The isolation of the home
provides a respite to the demands of the world. It is a private and comfortable place that is a
sanctuary and a blessing. The home accommodates our interiority, and accordingly, allows us to
reflect on the conditions of our life. Reflection constitutes the acts of remembering, recollecting,
considering and evaluating. In reflection we are led to a renewal of ideas, actions, plans and
activities that we accomplish in the exterior world. This respite brings us renewal and generates
the energy to enter the world that calls to us from just beyond the walls of our home, and to act
responsibly and ethically within it. The home is the concretization of a place of needed separation,
LEVINAS AND PSYCHOLOGICAL PRACTICE 4
says Levinas “The home occupies a privileged place” (1969, p. 152). The need for a home is
embedded in our nature; so much so that even those with nothing still seek to delineate a private
Consider then the psychological perspective of interiority, the confluence of mind and
body, where we exist in our ipseity. This is the center place of the “I”: our cognitive thoughts, our
embodied feelings, all components of our unrelenting observant ego. It is a private interior world
that none can enter. It is a given that when we are in the world we present our face to the Other, so
expressive, which is beyond our very control. But to share in our psychological interiority we
must speak, for it is only in dialog with the Other can we avail ourselves to the exteriority of the
world.
ourselves. However, while psychological interiority presents a barrier to the world, it cannot be so
concrete as to prevent the world from reaching us. Interiority must be a permeable membrane,
susceptible to penetration by the exterior world, and must permit our senses to feel and respond to
its influence. “In the separated being the door to the outside must hence be at the same time both
open and closed.” says Levinas (1969, p.149). If a person were to exist only in interiority one
would be introverted in narcissistic isolation; if a person lived only in exteriority one would be
A patient comes to therapy for many reasons. She may be facing an immediate and
stressful crisis: the ending of a major relationship, the death of a loved one, a financial
mania, or a cycling between them. She may be engaged in a joyless and general unhappiness
LEVINAS AND PSYCHOLOGICAL PRACTICE 5
and dissatisfaction in her life activities, relations and profession. Or, she may be experiencing a
more deeply felt loss of self esteem, an acute sense of anxiety and an eerie feeling of
disconnection from the world in which she lives, leaving her drifting and alienated. Maybe she
has fallen into a habitual pattern of destructive behavior such as gambling, consumerism or
substance abuse. The reasons go on and on. All aspects of the human condition and our
suffering are represented by patients: the neurotic, the psychotic, those with mild or deep seated
behavioral issues, mood disorders, loss of identity, life crisis, anxiety and alienation, or existence
What do all these conditions have in common? They are our dysfunctional reactions to
existing in the world, of human life itself. The consequence of these events is the embodiment of
suffering, which more often than not, results in psychological internalization: a fixed condition
The practice of psychology, with its methods, processes and techniques for relating to the
patient, for treating cognitive, behavioral and affective disorders, goes just so far. It is not in the
realm of psychology to address the underlying meanings of life. It cannot present a context of
existing, and for this we look to works of philosophy. Here we seek an existential and
This is where the Levinasian notions of interiority and exteriority, the alterity of the
Other and the practice of ethical responsibility come into play in the therapeutic forum. It sets a
philosophic view of human existence, defining the bounds and benefits of separation from the
world and the responsibility one has for oneself and for the Other. From this philosophic point of
view the psychologist can approach the patient in treatment, enabling a path from suffering to
transformation.
LEVINAS AND PSYCHOLOGICAL PRACTICE 6
What then is the goal of ethical psychological practice? Alvin Dueck and David
Goodman (2007) first provide a picture of what it is not: an exercise in personal identity and
power.
The focus is less on encouraging the client to assert him or herself, exercise rights and
power, master the ego and the environment. The goal is not so much individuation from
the Other, the constellating of a unique identity. Nor is the self constellated in comparing
oneself to Others as one being among many so as to discover one’s uniqueness in abilities
and differentness in personality. (p. 615)
In a Levinasian perspective the goal of therapy is to enable the patient to exercise the
ethical call to responsibility: to care for the Other. As Steen Halling (1975) writes: “The
therapy situation might then not just be a protective environment where one is relieved of
distress, but a place where one is called from unreal obligation and false guilt to real
responsibility and genuine guilt in the face of the Other” (p. 218).
obsessive focus on the patient’s own conditions of suffering, such that she remains fixed in her
personal interiority, unable to sense and break through the barrier that partitions her from the
world. This is a psychological condition that locks the mind, behavior and affect, resulting in a
mild to sometimes profoundly dysfunctional existential state. The suffering patient is stuck
egoistically in her interiority, unable to recognize or respond to the callings of the exterior world.
She may be fixed on her own problems and immediate issues. Her perspective may be self-
centered and narcissistic. She may feel distrustful or paranoid. Whatever her state of existence
is, one thing is clear, she is feeling encapsulated in her personal interiority.
Existence is not static and all is in constant change; it is only in mental dysfunction and
emotional disturbance that one’s life seems static and unchanging. “With alienation, isolation,
LEVINAS AND PSYCHOLOGICAL PRACTICE 7
loneliness …we can summarize the fact that all these mental states never stand by themselves
and are never abstractions, but ceaselessly reveal themselves in the reality of the surrounding
world, in the reality of objects in the reality of personal relationships, and in the reality of body
and of time” (van den Berg, 1972, p. 108). In other words, in neurosis and psychosis the patient
is stuck in a timeless and unchanging existence, locked in an internal separation infinitely distant
We are in our nature intersubjective beings. It is in our wiring as a human animal, when
at the dawn of man we huddled together in social bond to insure our survival. Within the
Other in total ethical responsibility: hearing the cry of the Other, understanding and appreciating
their alterity and responding with open giving. The one who suffers presents her face to the
Other, so passive and expressive, which is beyond her very control. However, even for the
sufferer, a radical intersubjectivity places an ethical responsibility for her as well: she should at
least try to recognize the gifts that are extended to her by the Other, which is to say, she should
endeavor to be open to the exterior world. But when the sufferer is locked beyond her ability to
control her interiority this essential intersubjectivity is broken and psychological pathology must
surely follow.
The suffering patient that is hopelessly caught in interiority is unable to enter the world to
announce her suffering. She cannot intentionally turn her face to Others around her. She cannot
intentionally cry for help in a voice that can be understood. She cannot hope to receive the aid of
Others; she is unable to receive gifts when given. She is lost and adrift in an interior that permits
no contact. There is yet a more profound loss in this rigid interiority: as she is mute and has no
voice for calling, she has no ears to hear the cries of Others. She cannot go beyond her self and
LEVINAS AND PSYCHOLOGICAL PRACTICE 8
cannot break the crust that separates her from the exterior. There is little if any sense of
would require a release of focus on her own suffering, an egoistic grasp that obscures everything
but her pain. She misses the bond of fraternity. And worse yet, she denies herself the
movement to exteriority. Herein provides a strategy by which the ethical therapist is of aid: to be
intersubjectivity, such that the patient begins to penetrate the barrier that separates herself from
the world.
When a patient comes to therapy in a state of interiority, too fearful, stuck and weak to
act, the therapist can work with her to build an opening of hope and possibility. It is in these
cracks in the wall of interiority that the patient can exercise the courage to achieve a movement
to exteriority. As the patient comes to understand her relation to the Other a shift in her
existential existence may occur. She is no longer held in a lived-experience of isolation. She can
freely express herself to Others, she has the ability to recognize and receive the gifts of the
Other, and she can find an existential comfort in the relation. Now that interiority is made
Thus enacted, the patient’s psychological transformation may be achieved: less a goal of
self discovering and personal mastery, and more the recognition and assumption of ethical
Levinasian philosophy has much to say about the ethical practice of psychology and the
principles of the therapist: to hear the call of the patient in her suffering, to recognize her alterity
by not totalizing her, and to meet the ethical responsibility by responding to her needs, in such a
way that no violence is done to her. Edward Gantt powerfully describes the bounds of the
In providing a non-totalizing context wherein the therapist can responsively attend to the
Other as Other, dwelling-with occasions a genuine opportunity for desire to find ethical
expression in the primordiality of the face-to-face encounter. In order to be such,
however, it must be a "moment of un-concern" (Halling, 1975) in which the therapeutic
situation ceases to be composed of a dialectical or authoritarian totality: the one to heal
the one in need of healing. For, to approach the therapeutic situation armed with a
presumption of disease or disorder in the client, which is to be overcome through the
transformative powers of the therapist, is to engage in needlessly totalizing utopic
speculation. Dwelling-with is a moment in which, rather than dogmatically pursuing a
pre-established mode of therapy with a particular client-type in order to realize a
particular utopic dream, we stand open to the being of the other person who reveals a
world of mystery as they bear witness of themselves; a world which cannot be
appropriated in terms of preconceived categories or totalizing systems. It is that moment
in which we give up the vain justifications of a self indulgent utopic idealism and, in its
stead, offer ourselves up as a "being-for" in ethical response to the call of the other person
whom we find here before us: the stranger, the widow, and the orphan.(Levinas, 1969).
Levinas’s principles of ethics are applicable in the therapeutic encounter which places a
level of awareness, sensitivity and responsibility on the therapist. In this forum the patient in her
suffering is openly exposed and vulnerable. In the face of the appeal from the patient, the therapist
surrenders himself to the excruciating neediness of the patient. The therapist is cautioned not to
dominate the patient, to keep her fixed in the highest position with complete respect to her alterity.
The therapist approaches the patient in a desire to respectfully participate with her, in goodness
and passivity, on her journey of realization and actualization. In the therapeutic relationship the
patient acts in freedom, openly exploring possibilities in a creative and welcoming environment,
such that she not only can care and tend for herself, but she is also able to be responsible to Others.
LEVINAS AND PSYCHOLOGICAL PRACTICE 10
Therapeutic practice is based on a mutual exchange between the therapist and patient, the
To recognize the Other is therefore to come to him across the world of possessed things,
but at the same time to establish, by gift, community and universality. Language is
universal because it is the very passage from the individual to the general, because it
offers things which are mine to the Other. To speak is to make the world common, to
create commonplaces. Language does not refer to the generality of concepts, but lays the
foundations for a possession in common. It abolishes the inalienable property of
enjoyment. The world in discourse is no longer what it is in separation, in the being at
home with oneself where everything is given to me; it is what I give: the communicable,
the thought, the universal. (Levinas, 1969, p. 76)
What are the gifts of the therapist? It is suggested that there are two levels of giving, both
of which are found within the face-to-face dialog of the therapeutic encounter. The first gift is the
communion and comfort of radical intersubjectivity, which includes the gentle, passive and
suffering patient. This gift is founded on language. “The calling in question of the I, coextensive
with the manifestation of the Other in the face, we call language” (Levinas, 1969, p. 171). In a
sense, the first statement of the therapist is an apology, an expression of humility before the Other
in recognition of the infinite otherness of the patient that he will never fully know, “Apology does
not blindly affirm the self, but already appeals to the Other” (Levinas, 1969, p. 252).
The second is the gift of teaching. In the therapeutic forum teaching is an engaging dialog
in which the therapist shares his educated knowledge and experience of psychological practice
However, this teaching is not a one way dialog; to be so would reduce the therapeutic
encounter to domination and violence. The patient in her presence also teaches the therapist, such
that the therapeutic dyad results in open and mutual recognition. “The first revelation of the
Other, presupposed in all the other relations with him, does not consist in grasping him in his
negative resistance and in circumventing him by ruse. I do not struggle with a faceless god, but I
How does the therapist help the patient move from her interiority to exteriority, and do so
within the Levinasian framework of ethical responsibility? Three themes are here suggested:
(1) the therapist’s self disclosure to the patient; (2) allowing the patient to teach the therapist; and
(3) the enactment of the ethical relation in the practice of radical intersubjectivity.
The very presence of the patient in the therapeutic encounter is their first opening. In this
forum the call to exteriority begins. In the face-to-face exchange, a radical intersubjectivity is
established which by its very nature breaks the barriers of interiority and exteriority. The gift of
psychological technique further advances the opening. This is based on an ongoing dialog,
wherein the patient and therapist openly expose themselves to one another in mutual surrender.
The discourse is bidirectional and is implicit in the movement from interiority to exteriority.
While their histories, roles and skills are notably different, both therapist and patient are engaged
in a vulnerable exposure and an open available exchange. The therapist is not a “blank slate” as
was asserted by the Freudian analysts at the beginning of the era of psychological practice.
Rather, the therapist conducts an open dialog, to the limits that the patient’s psychological state
LEVINAS AND PSYCHOLOGICAL PRACTICE 12
can tolerate. The degree of the therapist’s disclosure to the patient has long been a focus of
But within this small theater, where only certain acts can be played out, there is no such
limitation on the world of emotion, which is at the heart of the therapeutic enterprise. All
manner of emotions can be expressed, by both analyst and patient, even though the
analyst must take greater responsibility for finding constructive and helpful ways to
express herself. For example, rather than simply disclosing every strong feeling the
analyst has, feelings should be expressed at the patient's direction and behest, allowing
him to be in control of the emotional action between them. If the analyst discloses
primarily when the patient asks for it, either overtly or through repeated projective
identifications, then the patient is less likely to be victimized by the analyst's need to
relieve herself at the patient's expense. (Maroda, 1999, p. 138)
The therapist is thus called upon to follow an ethical practice of engagement, presenting an
attitude of cognitive and emotional participation in the radically intersubjective relationship, with
the realization that “the order of developmental progression dictates that the interpersonal
necessarily occurs first, with the intrapsychic following” (Maroda, 1999, p.84). This is another
way of saying that celebrating the patient’s alterity in a relation of bi-directional dialog is the start
of psychic healing. In the therapeutic dyad the act of surrender to the ineffable Other “….
constitutes an emotional opening up, a falling away of the analyst's resistance to being known by
the patient in the deepest way possible…as such, the analyst's surrender is both an intrapsychic and
willingness to be open about his or her own experience…it is the therapist's willingness to be
forthcoming and to show emotion that is curative and stimulates emotional honesty in the patient”
The therapeutic dyad works because the relationship and dialog runs both ways in a
mutual surrender, wherein the therapist and the patient open themselves in an intimate exchange.
For the patient this surrendering is transformational, as Maroda (1999) writes: “Based on my
own clinical experience, I would take this one step further and state that surrender is the self-
altering process. In the moment that a person surrenders he or she is irrevocably changed” (p.54).
While the act of surrender is therapeutic, it is also recognized that this opening is a gift within the
dyad: an offering of the Other’s experience providing insight into their very essence.
It is an honoring of the Other for the therapist to accept the patient’s gift of teaching:
“Maybe the "good therapist" is the person who remains willing to let the other person reveal
himself to him” (Halling, 1975, p. 223). The therapist is called upon, within his commitment
to the ethical relation, to receive this offering with interest and grace. The ethical therapist is
aware he is not the sole owner of truth and knowledge, for that would be totalizing. In the field
of human interaction we are all inadequate experts. We all grope along in intersubjectivity, often
in innocuously idle conversation, but at other moments we reach the heights of ethical relation in
The ethically responsible therapist celebrates the separation and alterity of the patient and
places her above all: “First, we need to remember that the coming into question of one's own
freedom is simultaneously the welcoming of the Other, the Other over whom I can have no power”
(Halling, 1975, p. 215). Finally, the notion of learning from the patient is celebrated by Brent
Levinas (1969) shows us that all learning comes from the Other. To uphold the ethical
responsibility of our call to be psychotherapists, our learning-to-be-psychotherapists must
ultimately come from the client. We learn from our patients. It is the patient who teaches us
how to put ourselves out of business. (p. 2).
Interiority to excess is by its very nature a loss of ethical responsibility to the Other. This is
a concept lost in the ipsiety of suffering. However, by treating the Other in the highest Levinasian
ethical relation, and by maintaining the notion of radical intersubjectivity, the therapist is able to
teach the patient, through the ongoing ethical relationship within the therapeutic encounter, to
involve herself in the activities of the world and to act in ethical responsibility to the Other.
“First, if ethics is first philosophy then therapy is an ethical event. It is ethical not simply
because ethical principles govern the relationship and the ongoing process. It is ethical because
the client as Other presents a claim on me” (Dueck, 2006, p. 279). In saying this, the therapist is
called to meet the ethical principles set by Levinasian philosophy within the relation of a radical
intersubjectivity. Thus the therapist serves the patient by conducting a practice that is the very
Paul Marcus describes the role of the therapist in this endeavor as follows: “In this context,
the role of the analyst is to expand the analysand’s awareness and understanding of what conscious
and unconscious personal factors (e.g., thoughts, feelings, wishes, and fantasies) and, especially,
valuative commitments that impede, diminish, or take the place of an ethic of responsibility for the
Another view of ethically enabled treatment is described by George Sayre, who after
considering the well meaning but ultimately flawed client-centered approach to therapy, states
“…it seems to me to be profoundly dehumanizing to deny one of the most profound aspirations of
those we work with, namely, to be good….in rejecting the ego-logical ethic of therapy and moving
toward a de-centered understanding, we are better able to understand people within the reality of
that exists for the therapist: the ethical relationship is higher and more elusive than any set of
therapeutic methods, techniques and skills known to the well educated practitioner. It may be said
that radical intersubjectivity reflects a state-of-being, reaching beyond facticity and knowledge,
beyond empathy and altruism, and enters into the realm of the transcendent. Radical
intersubjectivity is an implicit understanding of the infinitely distant and the infinitely close; a state
where time itself spans the dimensions of past and future and are embodied in the very present. It
is a metaphysical relation. Radical intersubjectivity is a state where the patient is seen in their
resplendent apparition, where the therapist bears witness, with utmost passivity and humility, with
the unknowable being of the Other that sits before him. In radical intersubjectivity the therapist
extends his hand in grace, which precedes his language. This is a presence that is ineffable but is
palpably felt. It is a state “of before”, a primordial being-connected to the wellspring of the
profoundly ethical commandments that is our human nature. This view may contain the highest
psychology addresses the suffering of the human condition, and the resulting cognitive,
behavioral, and affective outcomes, philosophy teaches us a way of existing in the world.
Philosophy is more than a subjective and relativistic psychological world view; that is, an
anchoring and sensibility that holds existence, human life, in an abiding, orderly and coherent
belief. While psychology addresses the internal and external behavioral and emotive affects, the
symptoms of a distorted view of existence, philosophy directly addresses, head-on, the meaning
LEVINAS AND PSYCHOLOGICAL PRACTICE 16
of existence, and provides a guidepost for the transformation of how a patient can live in the
world.
This paper examines the notion of interiority and exteriority, as defined within the
Levinasian philosophy, and presents a perspective for working with the suffering patient in the
therapeutic encounter. It is asserted that when the patient is encapsulated in her interiority, to the
exclusion of the world, the consequence is psychological dysfunction. Such a patient is chained to
her suffering. By denying herself exteriority, the patient is imprisoned in two ways. First, she is
stuck mute, in laryngitis of a sort, and is unable to intentionally call to the Other and cannot
receive the gifts of assistance and grace. Second, by not being in the world she is not present to
hear the Other’s call. She has denied herself the transcendent exaltation of service to the suffering
Other. Such is the highest goal of the therapeutic encounter: to enable the patient to not only
In the therapeutic encounter the therapist is called into an ethical practice: to establish a
non-totalizing relation where the patient is recognized and honored for her infinite otherness, yet is
helped with the passivity that only the gifts of discourse and teaching enable. This paper suggests
three means for the therapist in achieving an ethical psychological therapy: the therapist’s
disclosure to the patient, allowing the patient to teach the therapist, and the practice of radical
intersubjectivity. It is posited that radical intersubjectivity is more than a set of carefully practiced
psychological approaches. Rather, for the therapist it is a state of being, a metaphysical relation of
gentleness and grace beyond judgment, where the infinitely unknowable Other is so passively
References
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A. Giorgi, C.T. Fischer, and E.L. Murray (Eds.), Duquesne Studies in Phenomenological
Lévinas, E. (1969). Totality and infinity: an essay on exteriority. Translated by Alphonso Lingis.
Marcus, P. (2007). "You are, therefore I am": Emmanuel Levinas and psychoanalysis.
Robbins, B. D. (2000). Putting ourselves out of business: Implications of Levinas for psychology.
Sayre, G. (2005). Toward a therapy for the Other. European Journal of Psychotherapy,
Williams, R. N. (2007). Levinas and psychoanalysis: The radical turn outward and upward.
Appendix
David Flaxer is a second year graduate student in the Master’s of Psychology program at
technology. Prior to his turn to psychology, David was a research scientist at the IBM
Corporation focusing on the study of technology and social systems. While at IBM he produced
numerous patents, papers, and presentations in addition to directing the development of software
Beijing China, where he had the opportunity to mentor a new generation of technology
researchers. His undergraduate degree embraced architecture and energy efficient building
technology. In the 1980’s he employed these skills while serving as Executive Director of a non-
profit housing organization serving low-income households in rural New York. When he is not
studying in Seattle you can find him boatbuilding or sailing his historic wooden boats in the great
This paper was presented at the 8th Annual Psychology for the Other Seminar, Levinas