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Big apple therapy

Letter from New York.

Thursday 19 December 2002 00:00

Every New Yorker thinks he or she needs therapy. Allen Y Wood says through innovations such as The Psyche-Deli the food industry aims to bring new meaning to the phrase "couch potatoes"   

You may have read of the novel idea for stressed-out New Yorkers: a taxi-cum-therapy service which combines psychotherapy with efficient, if not always rapid, transit. Seated comfortably in soft leather chairs in an "office-like van", angst-ridden residents of the Big Apple can sit back and unwind their tortured souls. With luck, they will arrive on time and less anxious than at the start of the journey. All this for a mere $200 an hour.

Nonetheless, we're realistic enough to know the chances of this counselling couch-on-wheels making it big outside of our largest conurbations are slim. In Britain, the BBC's successful radio programme In the Psychiatrist's Chair is highly unlikely to be transformed into In the Psychiatrist's Rear-view Mirror.

There are, though, a few other exciting developments in combining psychotherapy with ancillary services, which might do better in the UK. A therapy bar, for example (motto: "Have a drink with your shrink"). However, contra-indicators here include the fact that most bartenders feel they already provide this service, free of charge; so competition would be intense.

A much more likely, not to say wholesome, alternative would be the burgeoning restaurant-cum-counselling centre. Top Manhattan place is The Psyche-Deli, complete with mandatory motto: "Lettuce help you." Outside, a welcoming sign says, "Cheesed off? You'll feel better if you Camembert your soul."

The menu understandably represents both the schools of haute cuisine and psychotherapy. In such a setting, healing inevitably comes as an optional extra; a sort of therapeutic side-order. A typical request is, "I'll have the nut roast, with some short-term, client-centred therapy on the side. Hold the insight development."

Those particularly in need of a nurturing female therapist can order Sole Bonne Femme. A customer suffering from a multiple-personality disorder can have "a bit of everything" and get a group rate. Fire-setters can eat their own diagnosis: Banana Flamb'.

Disciples of the Gestalt school frequently practise the "empty chair" approach, by setting more places than they actually require. They do, of course, have to pay extra. Those of a more traditional psychoanalytical persuasion simply ask for Freud Eggs or even SuperEgo Mayonnaise. Patience, however, is a prerequisite for those who adhere to this approach. Psychoanalytical waiters might take you some getting used to. Clients would have be really sure they wanted it. Fast food it sure ain't.

The slowness of psychoanalysis is legendary and not everyone has this type of endurance. So, a restaurant milieu is just the place for the "short order" cook/therapist. Advocates of regression therapy let their clients mess with their food and eat with their fingers, while behavioural therapists insist on strict compliance with table manners.

Places like The Psyche-Deli have opened up a whole set of new possibilities for food critics. Along with the wine-soaked acerbic comments on the quality of food, ambience and so on, the gastronomic cognoscenti now focus on the staff's use of empathic listening, supportive body language and the imaginative use of counter-transference.

The only downside is the hefty tab at the end of the session/meal. Prices are, somewhat inevitably, on the high side but modest compared with a night in the Betty Ford Clinic. But we hope that medical insurance coverage could come in time. Readily stocked medication can always ease the burden, however. Chicken wings with a Prozac dip is a popular choice.

As GK Chesterton once said, "Psychoanalysis is confession without absolution". In the Psyche-Deli, if not absolution, there is, at least, always pudding.

Allen Y Wood is, in fact, Kieran McGrath, senior social work practitioner, St Clare's sexual abuse assessment unit, Dublin.

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