The Radical Therapist

In this episode of The Radical Therapist, Chris Hoff draws on Mark Fisher’s idea of hauntology to ask a deceptively simple question: If we could show today’s psychotherapy to a therapist twenty years ago, would anything about it genuinely shock them?

From psychoanalysis and family systems to postmodern therapies, trauma, somatics, neuroscience, psychedelics, and AI, psychotherapy has changed enormously. But Chris wonders whether all this innovation has occurred within a surprisingly stable idea of what therapy is. Drawing on Fisher’s concern with “lost futures,” he explores how once-radical therapeutic movements become models, models become certifications, and critique becomes continuing education.

The episode turns toward a different question: What might emerge if the next significant development in helping doesn’t look like another psychotherapy at all? Bringing therapy into conversation with futures studies, scenario planning, community, art, politics, ritual, and world-making, Chris considers what it might mean to recover our capacity to imagine helping otherwise.

Perhaps therapy doesn’t need another model.

Perhaps it needs to become strange again.

The Future is Not Lost - Matt Bluemink

Dangerous Stories: A Therapy Salon

What if therapy has become too good at helping people adapt to conditions that should never have been accepted in the first place?

In this episode of The Radical Therapist Podcast, Chris sits down with narrative therapist, author, and educator Julie Tilsen, PhD to discuss her provocative new book, Personal Responsibility, Inc.: How Psychotherapy Turns Society's Problems into Yours. Together we examine one of the most pressing questions facing the mental health professions today: When does therapy relieve suffering, and when does it unintentionally reinforce the very systems that produce it?

Their conversation explores psychotherapy's relationship with neoliberalism, why so many social and economic problems become framed as individual pathology, and how the language of self-care, resilience, and personal responsibility can sometimes obscure questions of power, inequality, and collective life. Julie also shares how narrative therapy has informed her thinking, where she believes the field still has blind spots, and what a practice grounded in collective responsibility might actually look like.

Julie's Book: https://orbooks.com/catalog/personal-responsibility-inc/

Books Discussed:

In this episode of The Radical Therapist, Chris sits down with narrative therapist and poet Tobin Kriwel for a conversation at the intersection of poetry, therapy, metaphor, and human attention. Together we explore what poetry can teach therapists, not as a technique, but as a way of being with people.

We talk about why poetry refuses efficiency, how metaphor opens new possibilities for living, and what gets lost when therapy becomes preoccupied with outcomes, explanations, and quick solutions. Along the way we consider Michael White's notion of the absent but implicit, the value of uncertainty, and why some experiences can only be approached through poetic language.

This conversation is an invitation to slow down, listen differently, and reconsider the kinds of conversations that make transformation possible. Whether you're a therapist, writer, poet, or simply someone interested in living more attentively, I think you'll find something here worth carrying with you.

Tobin's Book The Field

What does it actually mean to practice from a decentred position? Has narrative therapy's commitment to being non-expert unintentionally softened its political edge? And what might we have misunderstood about Michael White's work over the past three decades?

In this episode, Chris sits down with narrative therapist and researcher Dr. Kelsi Semeschuk to discuss her important new work examining Michael White's therapeutic practice through hundreds of hours of archived video recordings and her recent article, Towards a decentred, politically influential, accountable and yet uncertain narrative practice.

Together they revisit some of the central assumptions of narrative therapy and ask whether "decentred" has too often been separated from "influential." The conversation explores the inevitability of therapist influence, the ethics of political practice, accountability in the therapy room, and why uncertainty may be one of the most overlooked aspects of Michael White's legacy.

Towards a decentred, politically influential, accountable and yet uncertain narrative practice.

In this episode of The Radical Therapist, Chris sits down with artist and former narrative therapist Cath Duncan to explore what happens when a professional identity no longer feels large enough to hold who we are becoming. After years of therapeutic practice, Cath made the transition into full-time art-making, a move that was less a departure from narrative ideas than a re-authoring of them in a different medium.

Together, Chris and Cath explore the often-unspoken terrain of transition: the liminal space between established identities, the uncertainty of stepping away from familiar forms of recognition, and the challenge of authorizing ourselves into new ways of being. What stories must be released when we cross these thresholds? Which commitments endure, even when the context changes?

Drawing from Cath’s current exhibition, Topophilia: Landscapes of Belonging, the conversation examines belonging not as something we discover, but as something we actively create through relationships, places, practices, and imagination. They discuss the ways narrative therapy continues to inform Cath’s artistic work, including her innovative Self-Guided Reflection Tour, which invites gallery visitors into processes of reflection, meaning-making, and connection outside the traditional therapy room.

A conversation about creativity, identity, courage, and the stories that carry us across life's thresholds. For therapists, artists, and anyone standing at the edge of a significant transition, this episode offers a thoughtful exploration of what becomes possible when we trust the call toward an emerging future.

www.CathDuncan.com

Untangle Your Grief book: https://www.cathduncan.com/untangle-your-grief

In this episode of The Radical Therapist, Chris sits down with philosophical therapist and scholar Joanna Polley to explore what philosophy can offer in an age increasingly dominated by diagnosis, optimization, and self-help solutions. What happens when we stop asking, “What’s wrong with me?” and begin asking deeper questions about meaning, freedom, ethics, identity, and how we ought to live?

Drawing from continental philosophy, literature, and thinkers such as Nietzsche, Derrida, Deleuze, and Kafka, Joanna invites us into a vision of philosophy not as an academic discipline confined to universities, but as a living practice of inquiry. Together, Chris and Joanna explore the distinctions between philosophical therapy and psychotherapy, the role of dialogue in confronting life’s uncertainties, and why some of our most persistent struggles may be philosophical rather than psychological in nature.

Joanna's Website Philosophical Therapy

In this episode of The Radical Therapist, Chris sits down with designer, writer, and researcher Amber Winick to explore how environments, objects, and systems quietly shape our emotional, relational, and developmental lives. Drawing from her work on Designing Motherhood, as well as her recent contributions to An Encyclopedia of Radical Helping, Amber invites us into a conversation about caregiving not as sentimentality, but as design practice, cultural philosophy, and relational ethics.

Together, Chris and Amber explore the radical legacy of Emmi Pikler and her revolutionary approach to children, development, and attentiveness. What happens when we stop treating infants as incomplete beings in need of constant correction, and begin relating to them as competent subjects with agency, rhythms, and capacities of their own? The conversation moves through themes of slowness, trust, embodiment, hospital design, narrative practice, and the emotional architecture of care itself.

In this episode of The Radical Therapist, Chris sits down with youth organizers Chloe Yates and Rosie Williams of Mad Youth Organise to explore a radically different approach to the so-called “mental health crisis.” What happens when we stop treating distress as an individual pathology and start understanding it as a rational response to social, political, and economic conditions?

Drawing on their work with Just Treatment, Chloe and Rosie challenge the dominant narratives of awareness culture, diagnostic labeling, and therapeutic individualism. Together, they make the case that rising rates of youth distress cannot be separated from the influence of Big Tech, precarious futures, and systems that privatize suffering while avoiding accountability.

We explore how Mad Youth Organise reframes lived experience as leadership, critiques the role of algorithms in shaping identity and mental health, and calls for collective action over individualized solutions. This conversation pushes beyond therapy as a site of healing alone and asks what becomes possible when care is reimagined as something political, relational, and shared.

A conversation for anyone questioning the limits of contemporary mental health discourse, and for those interested in what it might mean to move from coping within broken systems to organizing for their transformation.

In this episode of The Radical Therapist, Chris sits down with developmental psychologist, social therapist, and longtime cultural provocateur Lois Holzman to explore what a developmentalist approach to mental health offers in a time when therapy often collapses growth into diagnosis, insight, or symptom management.

Drawing from her latest book A Developmentalist’s Guide to Better Mental Health, Lois introduces listeners to a playful, philosophical, and deeply relational way of thinking about human problems, one that shifts the focus from fixing individuals to creating conditions for ongoing social and emotional development. Through the book’s unique letters-and-responses format, she invites readers (and therapists) to step out of psychology-speak and into a more performative, improvisational relationship with their lives and dilemmas.

Together, Chris and Lois explore how Vygotsky’s legacy and social therapeutics challenge dominant therapeutic models, why play and performance are not luxuries but necessities for adult development, and what distinguishes a developmentalist response from advice-giving or problem-solving. They also reflect on how people can begin to move when they feel most stuck, not by changing their stories, but by changing how they relate, act, and create with others.

What if “emotion regulation” isn’t just a clinical skill, but a cultural demand?

In this episode of The Radical Therapist, Chris sits down with therapist and professor David Nylund for a rigorous and timely conversation about the near-hegemonic status of emotion regulation in contemporary therapy. Together, they explore how practices often framed as neutral, helpful, or evidence-based can quietly function as technologies of governance, shaping not just how people feel, but who they are allowed to be.

Drawing on narrative therapy, post-structural theory, Black feminist thought, and critiques of neoliberal subjectivity, David invites us to look beyond whether regulation techniques “work” and ask deeper questions: What kinds of selves do these practices produce? What futures do they orient us toward? And whose emotions are deemed acceptable, intelligible, or safe?

A conversation for therapists, educators, and practitioners who want to think more critically about what we’re teaching, what we’re regulating, and what might change if we treated emotions not as problems to solve, but as embodied critiques of the worlds we inhabit.

Chris' Casperson Therapy Center Training