Book - Psychology's Quiet Conservatism, 2025, Brian Hughes

Psychology is often seen as a progressive discipline — a champion of social justice, diversity, and liberal values
I guess people really think that. Damn people are weird. Just so freaking balls-out weird. I just don't see them that way at all. Same with medicine. I see them more in the same vein as cops and judges, maybe bureaucrats. Doesn't mean either good or bad, but it certainly means none of those things.

I always see people wielding any form of authority to be naturally conservative, because it forces them to be. Same with people who are very judgmental. Psychology embodies both, and has always served power.
 
I'm a fan of Brian's and I want to read this latest book. Much of what he says in the video is attractive to me, it fits my world view. I loved the idea of 'psychology aiming to fix the world one self-actualisation at a time'.

But, an argument that psychology is always focused on fixing the individual rather than fixing society is a simplification.

A psychologist I know is working on the impact of the various names that are applied to different sorts of criminal offenders. So, the impact of naming (a societal construct) on how individuals see themselves and on how others see them - and how that might then go on to influence behaviours.

There is the branch of psychology that is organisational psychology, a person I know works in that field. Topics studied there include how existing structures can influence the way that people react to each other. So, the focus is not on an individual changing themselves, or even a team changing itself, but on things that can be done to help people work more efficiently and better together. So the organisational psychologist might look at how a team put together from different agencies, people who don't know each other and bringing different skills and networks, might be helped to cooperate to manage an emergency. Things like that are practical, structural and are not focussed on changing individuals.

I'm assuming Brian, as a psychologist himself, and one who I assume is involved in training more psychologists, does see and talk about the benefits of the field in all its diversity, as well as its limitations and potential harms.
 
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Here’s an AI summary for those unable to watch the interview:

Introduction and Overview (00:00–01:01)​

David Tuller introduces Brian Hughes, a psychologist from the University of Galway, and his new book Psychology’s Quiet Conservatism. Hughes explains that the book explores how psychology, despite being labeled a liberal or “woke” field, actually promotes a socially conservative worldview. Its theories and methods, he argues, downplay inequality, discourage dissent, and reinforce existing social structures.


The Individual-Centered Bias of Psychology (01:38–03:43)​

Hughes describes psychology as “individualcentric,” focusing on personal rather than systemic explanations for human problems. This approach erases social, political, and economic contexts, encouraging individuals to solve structural problems by changing themselves. Even seemingly progressive movements like humanistic psychology are deeply individualistic, emphasizing self-actualization and personal growth instead of collective change. Such an approach, Hughes says, blames individuals for hardship and maintains unjust social conditions.


Industrialization and the Birth of Productivity Norms (04:24–05:49)​

Hughes connects psychology’s conservatism to the Industrial Revolution, which redefined human worth in terms of economic productivity. Before industrialization, communities accommodated diverse people, but industrial norms excluded those deemed “unfit for modernity.” This perspective—what theorists call “capitalist realism”—frames disability as economic non-productivity, a concept psychology has largely accepted rather than questioned.


The Political Center and the Marginalized (06:01–07:00)​

Even political movements on the traditional left, Hughes argues, often reinforce conservative ideas by focusing on “working people,” implying that non-working or disabled people are less valuable. Thus, much of modern political discourse, including the moderate left, remains right-of-center by historical standards.


Psychology, Disability, and Psychogenic Illness (07:01–09:25)​

Turning to ME/CFS and long COVID, Tuller and Hughes discuss how psychology’s worldview supports psychogenic explanations—the idea that unexplained illnesses are psychological. Hughes argues that this reflects political and economic motives, as classifying illnesses as psychological reduces welfare and healthcare costs. Psychologists and psychiatrists have historically contributed to this framing, aligning with policymakers seeking to limit disability spending.


Institutional Symbiosis and Power Structures (09:28–11:46)​

Tuller notes the close ties between researchers promoting psychogenic models and policymakers in government or insurance sectors. Hughes agrees, adding that psychology’s focus on the individual makes it appealing to bureaucracies, as it avoids examining power and privilege. Disciplines like sociology or anthropology, which do address structural inequalities, receive less funding and prestige.


Conservatism in Practice and Resistance to Change (12:12–14:42)​

The discussion turns to the UK’s NICE guidelines on ME/CFS, where psychologists resisted removing CBT as a standard treatment. Hughes sees this as an example of bureaucratic conservatism—professionals defending existing systems because their livelihoods and authority depend on them. This resistance, he says, is “the very essence of conservatism”: preserving structures simply because they exist.


Rethinking Psychology’s Role (14:43–16:52)​

Asked how to promote change, Hughes suggests greater humility within psychology. He advocates for transparent, evidence-based regulatory systems like NICE that operate outside the discipline’s internal biases. Psychologists, he concludes, should recognize the limits of their field, abandon the idea that psychology can solve all problems, and re-evaluate their role within broader social systems.


Closing (16:54–17:02)​

Tuller thanks Hughes for the discussion, calling it insightful. Hughes expresses his appreciation for the opportunity to talk about his work.
 
This sounds very interesting and aligns with my impressions.

I wonder if the problem with unreliable, biased studies in psychology (and other fields) is the result of desire or pressure to conform to the values mentioned by Hughes. In this interpretation, the obstacle to doing good science is not so much that it's too difficult, but that it would not give the desired results, aligned with these moral values and political goals.

Someone that has been taught to see patients in a negative way will not be able to help effectively for various reasons. I saw this with my therapist. They will see a negative stereotype instead of the person how it actually is. This leads to a focus on problems that fit the stereotype while neglecting other problems which may be more important, and it can easily lead to misinterpreting and misuderstanding. Attributing a negative trait to a person that does not really have this trait is harmful. It can also lead to interpreting as defect what is actually an effective problem-managing strategy by the patient (see resting and illness-beliefs in ME/CFS). The negativity they bring into the relationship will make it harder to build trust and communicate openly. The therapist will feel superior to the patient and feel justified in blaming the patient for any problems in the therapist-patient relatinship or the therapy (such as lack of effect or harm).
 
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I can see that psychological practice is very much about conforming and in that sense 'conservative'. I am sceptical about this having much to do with politics or industrialisation though. I see it as closer to religion and likely something that has been there for millenia. There have probably always been psychologists - mostly called 'priests', 'oracles' or 'witches' - over the centuries. That aligns with Popper's portrayal of psychology as the antithesis of science.
 
I’ve not read the book but I listened to the interview. It may be that I’m misunderstanding but seems to me that Brian’s criticisms are more relevant to psychotherapy (or psychology associated with therapy) than to the broader field of academic psychology. The latter may be beset with many of the same issues but not exclusively, as Brian’s own work exemplifies.

Towards the end of the video Brian suggests that any advances that have been made with ME/CFS services (eg NICE guideline) have happened through the “systems and services that are currently there” but that these are “systems outside of the psychology bubble”.

It’s worth remembering that the lead author of the PACE reanalysis paper, Carolyn Wilshire, is an academic psychologist – as are Brian and Leonard Jason. However, if Brian means that psychology organisations and institutions have done nothing to help, then I would agree.

If I had more capacity I’d be interested to read Brian’s book and I suspect I would agree with a lot of it. With everything that is happening in the our post-truth world it is hard to be optimistic that the branches of psychology and psychiatry in question will get their houses in order through some form of enlightenment. But sometimes things have to get worse before they get better, and perhaps the chaos that is unfolding may help to open more people’s eyes to the disregard that so many people working in these fields have shown for the scientific method and the pursuit of truth.

I agree with Jonathan’s point that psychotherapy is like a religion, but religion and politics are invariably intertwined. You can have politics without religion but not vice-versa.

Although I agree with the policy, it’s a shame that we can’t discuss politics on this thread. I hope it’s OK to say that I was pleased that Brian mentioned the excruciating phrase “working people” that has become so beloved of politicians. I want to vote for a party that represents all people, including those of us who are not fortunate enough to be able to work.

[Editted typos]
 
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I can see that psychological practice is very much about conforming and in that sense 'conservative'. I am sceptical about this having much to do with politics or industrialisation though. I see it as closer to religion and likely something that has been there for millenia. There have probably always been psychologists - mostly called 'priests', 'oracles' or 'witches' - over the centuries. That aligns with Popper's portrayal of psychology as the antithesis of science.
I think the conservative psychotherapy continues to thrive and exist because it’s convenient for the people that currently benefit the most from the western societal structures. And psychotherapy has become a useful tool for politicians and others in power. So it’s allowed, rather than created (for the most part at least).

In Norway, there is well documented systemic discrimination in the courts against people that are ill but without a «somatic» diagnosis, especially when it comes to welfare benefits. The reasoning for requiring those people to do much more in terms of attempting to get better is always based on the BPS narratives and unjustified and unreasonable overruling of the patients’s doctors.
 
I’ve not read the book but I listened to the interview. It may be that I’m misunderstanding but seems to me that Brian’s criticisms are more relevant to psychotherapy (or psychology associated with therapy) than to the broader field of academic psychology.
I haven't read the book either, though I have ordered it. The video is quite short and aimed at an ME/CFS audience, so naturally the focus was on the role of psychology in ME/CFS. I think that's only a small part of what the book is about.
 
I think the conservative psychotherapy continues to thrive and exist because it’s convenient for the people that currently benefit the most from the western societal structures. And psychotherapy has become a useful tool for politicians and others in power. So it’s allowed, rather than created (for the most part at least).

In Norway, there is well documented systemic discrimination in the courts against people that are ill but without a «somatic» diagnosis, especially when it comes to welfare benefits. The reasoning for requiring those people to do much more in terms of attempting to get better is always based on the BPS narratives and unjustified and unreasonable overruling of the patients’s doctors.
All the blame for this is on medicine, though. It uses the tools and standards of psychology, and I guess in some way it must make psychology academics pretty happy as it validates them more than anything could. Although we should definitely expect better of them, to see how their tools and methods are abused to hurt millions, but what we hear out of medicine are totally delusional boasts of major achievements and endless progress in improving outcomes. To do better, the field of psychology would have to basically call bullshit on the medical profession. Hard to see this happening in an industry where deference to power and hierarchy dominates all other concerns.

We should expect better out of psychologists, but psychology is not nearly as structured and formalized as medicine is, which is a fully top-down and ruthlessly enforced system of checks and controls over its members. Psychologists have far more liberty to work outside the bounds, they can acknowledge things that are true without punishment, unlike a physician who would doggedly work to get the giant bureaucracy they work in to quit hurting people with the disastrous misapplication of psychosomatic ideology. That is a career-killer.

So it's like the difference between executives and mid-level managers of tobacco companies around the time the dangers of smoking. Lots of mid-level managers could easily see the writing on the wall and choose to stay or not, but as people with little direct influence and no decision-making powers. The executives, though, now they are 100% responsible for what happened. And all executive power over the disastrous misapplication of psychology into medicine is in the hands of physicians, working in structures and organizations where everyone else is a board-certified MD.

Psychology seems mainly happy to adopt the position of "hey, it's medicine, and they're buying by the truckload, elevating our profile massively, do you really expect us to tell them to stuff it?"
 
All the blame for this is on medicine, though. It uses the tools and standards of psychology, and I guess in some way it must make psychology academics pretty happy as it validates them more than anything could.
I’ve been thinking about this lately, and I think it’s more a case of medicine coming from complete quackery and not being able to move forward quickly enough. Therefore, psychology and BPS gets accepted.

I had some physio/OT people nag me about doing more because it would make me able to do more, and when I challenged them directly about how weak their evidence was, they response was something along the lines of «I know a doctor at the hospital that says they do all kinds of things without any evidence, so it’s okay that we do it as well».

There is something perverse about the insistence of these people to decide what others should do based only on their own conviction and nothing else. There is some kind of superiority belief going on.
 
Made a brief summary of David Tuller's interview with Prof. Hughes:



1) Interesting interview of Prof. Brian Hughes by David Tuller.
In his new book Hughes argues that psychology is not woke but that its methods are essentially conservative because it focuses on an individualistic view and ignores social context.

2) Hughes argues that the problems people encounter are usually systemic and require social and structural solutions. But psychology promotes a personal, libertarian view that blames the victim rather than the system.

3) He explains: "By encouraging people to look inside themselves for a change, you are guaranteeing that the world will carry on the way it is, which, of course, is deeply unjust and unequal."

4) Psychology identifies disability in terms of a person's ability to participate in the norms of society without ever questioning those norms.
It focuses on individuals and the deficits in their repertoire of behavior.

5) Prof. Hughes then applies this to ME/CFS and medically unexplained conditions. The idea in psychology is that if a person cannot be established to be physically ill through some kind of biomarker, then it must be psychological.

6) Psychologists and their psychiatrist cousins have been at the forefront of characterising unexplained illnesses as psychiatric problems.
This then becomes a political question as such explanations are popular among people who are concerned about spending money on disability.

7) So rather than providing social safety nets, illness benefits, and medical services to people who have suffering in their lives, psychology participates in this bureaucratic effort to avoid those commitments.

8 ) According to Hughes it's no coincidence that sociology and anthropology are less prestigious and get less funding.
Psychology isn’t prioritised for what it is good at, but for what it is bad at. It is bad at studying privilege and unpicking political causes of problems.
 
I had some physio/OT people nag me about doing more because it would make me able to do more, and when I challenged them directly about how weak their evidence was, they response was something along the lines of «I know a doctor at the hospital that says they do all kinds of things without any evidence, so it’s okay that we do it as well».

There is something perverse about the insistence of these people to decide what others should do based only on their own conviction and nothing else. There is some kind of superiority belief going on.
Especially when, and this should be in all shouty all-caps so just imagine it, but, they call this evidence-based medicine!

In the end this is what most of the physicians pushing this ideology retreat back: "well, I know it works because I make it work in my practice". Or some bullshit like that. And they really do call this evidence-based medicine. Which is completely unlike all other types of alternative medicine where they all say those things for the same reasons with the same intent.

What those unofficial pseudoscience types lack, though, is power. Pseudoscience in the hands of medical institutions becomes powerful pseudoscience. It's not different from all other types of pseudoscience, the only difference is they can push it coercively down our throats and get away with it. With awards. And promotions. For failing.

And they also call this patient-centred medicine, because they've already run through all the marketing propaganda terms they can think of and have simply stopped trying. Just as they stopped trying to solve any of this, and instead did what everyone with power and influence ever does in this situation: block everyone else from making them irrelevant.
 
I always see people wielding any form of authority to be naturally conservative, because it forces them to be. Same with people who are very judgmental. Psychology embodies both, and has always served power.
I think people are complicated, and labels often are inadequate. People can combine conservatism in some aspects with liberalism in others, in all sorts of ways. Some aspects of rule following might be embraced, in order to allow constructive freedom of expression. (yep, I'm a forum moderator....)

2) Hughes argues that the problems people encounter are usually systemic and require social and structural solutions. But psychology promotes a personal, libertarian view that blames the victim rather than the system.

3) He explains: "By encouraging people to look inside themselves for a change, you are guaranteeing that the world will carry on the way it is, which, of course, is deeply unjust and unequal."
As I mentioned upthread, I think psychology can be diverse, just like people.

Yes, there is a lot of focus on 'fixing oneself', but in the realm of therapy there also seems to be quite a bit of blaming of one's family and society (allowing individual blame to be avoided). As I mentioned upthread, there are also the types of psychology that look at how human organisations come about and function - those aren't focused on the individual at all. I don't think all psychology blames the victim rather than the system.
 
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