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Well-being, Psychotherapy, and the Capability Approach
Graduate Thesis/Dissertation   Open access

Well-being, Psychotherapy, and the Capability Approach

Jerônimo Gregolini Pucci
Master of Arts - MA, University of Otago
University of Otago
2023
Handle:
https://hdl.handle.net/10523/15449

Abstract

Clinical-Psychology Philosophy Happiness Well-being Psychotherapy Capability-Approach
Psychotherapy is concerned with the well-being of clients. However, most models of psychotherapy operate without an explicit model of well-being. In the context of positive psychology, two theories of well-being have been developed and applied to psychotherapy: Martin Seligman’s “well-being theory”, which has inspired positive psychotherapy, and Carol Ryff’s “six-factor model of psychological well-being”, which has inspired well-being therapy. In the context of philosophy and the social sciences, Amartya Sen and Martha Nussbaum have developed the capability approach as a framework that is directly preoccupied with well-being. Nonetheless, the capability approach has yet to be applied to psychotherapy. In this thesis I present the current literature on well-being in the capability approach and in positive psychology. I then explore two questions. The first question addresses how positive psychology and the capability approach conceptualize well-being, both in terms of philosophical underpinnings and how they employ the concept of well-being. The second question considers how the capability approach could be integrated into psychotherapy. Regarding the first question, I argue that the positive psychology theories of well-being are currently misclassified in the literature as eudaimonic theories, while the capability approach should be viewed as an objective list theory of well-being. I also argue that the positive psychology theories of wellbeing are about well-being narrowly construed, while the psychotherapeutic models they inspire are arguably about well-being broadly construed. The capability approach does not seem to be committed to a single sense of the concept of well-being. I then argue that commitment to well-being broadly construed is preferable for psychotherapy. Regarding the second question explored in this thesis, I suggest that capabilitarian accounts of well-being can complement different psychotherapeutic models by ways of: 1) informing views on well-being; 2) contributing to clinical interviewing and goal setting; and 3) informing case formulation alongside existing approaches. The proposed interactions between the capability approach and psychotherapy provide clues about ways that well-being can be explored by future theoretical and empirical research.
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