"Wooden Leg" is especially pernicious in clinical practice, because the patient
may find a therapist
who plays the same game with the same plea, so that progress is impossible. This is relatively easy
to arrange in the case of the "Ideological Plea," "What do you expect of a man who lives in a
society like ours?" One patient combined this with the "Psychosomatic Plea," "What do you expect
of a man with psychosomatic symptoms?" He found a succession of therapists who would accept
one plea but not the other, so that none of them either made him feel
comfortable in his current
position by accepting both pleas, or budged him from it by rejecting both. Thus he proved that
psychiatry couldn't help people.
Some of the pleas which patients use to excuse symptomatic behavior are colds, head injuries,
situational stress, the stress of modem living, American culture and the economic system. A literate
player has no difficulty in finding authorities to support him. "I drink because I'm Irish." "This
wouldn't happen if I lived in Russia or Tahiti." The fact is that patients in
mental hospitals in Russia
and Tahiti are very similar to those in American state hospitals.1 Special pleas of "If It Weren't For
Them" or "They Let Me Down" should always be evaluated very carefully in clinical practice—and
also in social research projects.
Slightly more sophisticated are such pleas as: What do you expect of a man who (a) comes from a
broken home (b) is neurotic (c) is in analysis or (d) is suffering from a disease known as alcoholism?
These are topped by, "If I stop doing this I won't be able to analyze it, and then I'll never get better."
The obverse of "Wooden Leg" is "Rickshaw," with the thesis, "If they only had (rickshaws)
(duckbill platypuses) (girls who spoke ancient Egyptian) around this town, I never would have got
into this mess."
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