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In The Triumph of the Therapeutic, Philip Rieff famously argued that the typical American has come to think of himself less as a citizen than as a kind of patient, whose life purpose is to develop, sustain, and fine-tune his psychological well-being. For Rieff, this therapeutic turn is a logical consequence of civic and spiritual decline. Somehow our sense of the purpose of living has slipped out of joint from the social conditions that once sustained it. We are no longer at home with ourselves, never quite comfortable with our place in the world. Instead, we are like castaways on a strange island, unfamiliar with local conditions, unable to rely on the old ways of going on. Perhaps something about the way we live now produces this distance from one another, or perhaps we distance ourselves from one another and live the way we do as a result. Either way, we have become more narcissistic, but narcissistic in a way that is peculiarly dependent on things outside ourselves: that is to say, what other people are saying and thinking about us. Rieff puts it this way, “When so little can be taken for granted, when the meaningfulness of social existence no longer grants an inner life at peace with itself, every man must become something of a genius about himself.”33
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