Enhancing Client Agency: Bridging Yoga Therapy and Freire’s Pedagogy

Authors

  • Sraddha Kausthub Indian Institute of Technology, Chennai, Tamil Nadu, India
  • Khushi J Shah MOP Vaishnav College for Women, Chennai, Tamil Nadu, India

Keywords:

Complementary and Alternative Medicine, Decolonising Healthcare, Indian culture, Indigenous Psychology and Client-centred therapy

Abstract

This paper proposes integration of Freire’s Pedagogy with psychotherapy to enhance client autonomy, enhance Quality of Life for individuals with mental illness and improve mental health literacy. There is an urgent need to develop accessible, culturally relevant, and accepted healthcare services, as over 150 million people in India require them. This study explores Yoga Therapy as a holistic, culturally accepted modality that enhances personal agency and fosters co-created understanding between the therapist and client in addressing distress and well-being. This theoretical paper draws on classical Yoga texts to highlight techniques that enhance client agency and examine common Yoga therapy practices that support a more balanced distribution of power between the therapist and client. The Patañjali Yoga Sūtra-s emphasise reflexivity and mutual engagement in therapeutic relationship while Yoga Rahasya of Nāthamuni mentions Goal setting based on students’ desires. In yoga therapy, clients construct meaning of symptoms and distress, with the therapist acting as a facilitator to build awareness, mirroring the concept of “conscientização”. The intervention is designed with the client, as suggested by Paolo Freire, creating a space of collaboration and a non-hierarchical relationship. The study is theoretical, drawing on existing literature in critical psychology and Indian Knowledge Systems. It sets the stage for culturally appropriate mental health care by attempting to create a space for common dialogue between mental health practitioners and indigenous healers. Qualitative studies and case studies can shed further light on how Freire’s pedagogy can be effectively combined with Yoga Therapy to create a new paradigm in culturally relevant critical psychology practices.

References

Baba, B. (1976). Yogasūtra of Patañjali: With the commentary of Vyāsa. Delhi: Motilal Banarasidass. ISBN 81-208-0155-5

Burnham, J. (2018). Relational Reflexivity: a tool for socially constructing therapeutic relationships. In The Space Between (pp. 1–17). London: Routledge. https://doi.org/10.4324/9780429483295-1

Cabral, P., Meyer, H. B., & Ames, D. (2011). Effectiveness of yoga therapy as a complementary treatment for major psychiatric disorders: a meta-analysis. The primary care companion for CNS disorders, 13(4). https://doi.org/10.4088/PCC.10r01068

Capon, H., O’Shea, M., & McIver, S. (2019). Yoga and mental health: A synthesis of qualitative findings. Complementary Therapies in Clinical Practice, 37, 122–132. https://doi.org/10.1016/j.ctcp.2019.101063

Dearfield, C. T., Barnum, A. J., & Pugh-Yi, R. H. (2017). Adapting Paulo Freire’s pedagogy for health literacy interventions. Humanity & Society, 41(2), 182-208. https://doi.org/10.1177/0160597616633253

Desikachar, T. (1998). Health, Healing & Beyond. New York: Aperture Foundation. ISBN: 0-89381-941-7

Desikachar, T. (1999). The Heart of Yoga. Inner Traditions. ISBN: 9781594778926

Desikachar, T. K. (2018). The Yoga Rahasya of Nathamuni. Chennai: Media Garuda Krishnamacharya Healing and Yoga Foundation. ISBN: 978-93-82470-04-5

Foucault, M. (1954). Maladie Mentale et personnalité. Presses Universitaires de France.

Foucault, M. (2003). Madness and civilization. Routledge.

Freire, P. (1970). Pedagogy of the oppressed. Continuum. ISBN: 9780816491322

Fricker, M. (2007). Epistemic injustice: Power and the Ethics of Knowing (Vol. 69. Issue 2). Oxford University Press. ISBN: 9780198237907

Gautham, M. S., Gururaj, G., Varghese, M., Benegal, V., Rao, G. N., Kokane, A., Chavan, B. S., Dalal, P. K., Ram, D., Pathak, K., Singh, R. K. L., Singh, L. K., Sharma, P., Saha, P. K., Ramasubramanian, C., Mehta, R. Y., Shibukumar, T. M., Deuri, S. P., Krishnatreya, M., . . . Majhi, G. (2020). The National Mental Health Survey of India (2016): Prevalence, socio-demographic correlates and treatment gap of mental morbidity. International Journal of Social Psychiatry, 66(4), 361–372. https://doi.org/10.1177/0020764020907941

Gaztambide, D. J. (2015). Freud, Ferenczi, and Freire: Liberation Psychology and the Practice of Psychoanalytic Therapy [Doctoral dissertation, The Graduate school Of Applied And Professional Psychology Of Rutgers, The State University Of New Jersey]. https://rucore.libraries.rutgers.edu/rutgers-lib/48178/PDF/1/play/

Gladding, S. T. (2009). Counseling: A comprehensive profession, 6/E. Pearson Education India. ISBN 8131728072

Gopal, B., Charles, D. Y., Raval, V. V., P, P., & Thomas, E. (2023). “Is my culture influencing me?”: Client experiences of mental illness and psychotherapy in a transitional Indian culture. Culture & Psychology, 30(3), 628–652. https://doi.org/10.1177/1354067x231219462

Hernandez, M., Nesman, T., Mowery, D., Acevedo-Polakovich, I. D., & Callejas, L. M. (2009). Cultural Competence: A Literature Review and Conceptual Model for Mental Health Services. Psychiatric Services, 60(8), 1046–1050. https://doi.org/10.1176/ps.2009.60.8.1046

Joranger L. (2025). Foucault's Social, Community, and Cuteltural Psychology. Integrative psychological & behavioral science, 59(1), 17. https://doi.org/10.1007/s12124-024-09878-0

Kaur, A., Kallakuri, S., Mukherjee, A., Wahid, S. S., Kohrt, B. A., Thornicroft, G., & Maulik, P. K. (2023). Mental health related stigma, service provision and utilization in Northern India: situational analysis. International Journal of Mental Health Systems, 17(1), 10. https://doi.org/10.1186/s13033-023-00577-8

Korin, E. C. (1994). Social Inequalities and Therapeutic Relationships: Applying Freire’s Ideas to Clinical Practice. Journal of Feminist Family Therapy, 5(3–4), 75–98. https://doi.org/10.1300/J086v05n03_04

Lawton, P. (2022). Paolo Freire’s “Conscientization”. RoSE–Research on Steiner Education, 13(1). https://www.rosejourn.com/index.php/rose/article/view/667

Mahapatra, P., & Seshadri, S. (2023). Mental health in India: evolving strategies, initiatives, and prospects. The Lancet Regional Health - Southeast Asia, 20, 100300. https://doi.org/10.1016/j.lansea.2023.100300

Ministry of Health & Family Welfare. (2025, February 7). Advancing Mental Healthcare in India [Press release]. Retrieved November 11, 2025, from https://mohfw.gov.in/?q=en/pressrelease-206

Moodley, R., Sutherland, P., & Oulanova, O. (2008). Traditional healing, the body and mind in psychotherapy. Counselling Psychology Quarterly, 21(2), 153–165. https://doi.org/10.1080/09515070802066870

Murthy, R. (2017). National mental health survey of India 2015–2016. Indian Journal of Psychiatry, 59(1), 21. https://doi.org/10.4103/psychiatry.indianjpsychiatry_102_17

Farias, M. N., & Lopes, R. E. (2022). Occupational therapy and Paulo Freire: a scoping review. Cadernos Brasileiros de Terapia Ocupacional, 30, e2958. https://doi.org/10.1590/2526-8910.ctoAR22412958

Park, C. L., & Slattery, J. M. (2021). Yoga as an integrative therapy for mental health concerns: An overview of current research evidence. Psychiatry International, 2(4), 386-401. https://doi.org/10.3390/psychiatryint2040030

Piedade, V. L., & Messas, G. (2025). Psychotherapy of the oppressed: the education of Paulo Freire in dialogue with phenomenology. Philosophical Psychology, 38(1), 189-208. https://doi.org/10.1080/09515089.2024.2316179

Radhakrishna, S., Nagarathna, R., & Nagendra, H. R. (2010). Integrated approach to yoga therapy and autism spectrum disorders. Journal of Ayurveda and integrative medicine, 1(2), 120. DOI: 10.4103/0975-9476.65089

Schraube, E., & Osterkamp, U. (2013). Psychology from the Standpoint of the Subject: Selected Writings of Klaus Holzkamp. In Palgrave Macmillan UK eBooks. Palgrave Macmillan. https://doi.org/10.1057/9781137296436

Sharma, P. (2024). Culturally sensitive psychotherapy in India: Integrating traditional and Western approaches. Practice Innovations. https://doi.org/10.1037/pri0000257

Stephens, I. (2017). Medical yoga therapy. Children. 4(2), 12. 10.3390/children4020012

Subudhi, C., Biswal, R., & Meenakshi, J. R. (2020). Healing Preferences among Tribal Patient with Mental Illness in India. Journal of Neurosciences in Rural Practice, 11(2), 361–362. https://doi.org/10.1055/s-0040-1709374

Teo, T. (2015). Critical psychology: A geography of intellectual engagement and resistance. American Psychologist, 70(3), 243–254. https://doi.org/10.1037/a0038727

Trifonas, P. P. (2018). Pedagogy of the Oppressed: 50 years. Review of Education, Pedagogy, and Cultural Studies, 40(5), 367-370. 10.1080/10714413.2019.1570789

Williams, K. A., Petronis, J., Smith, D., Goodrich, D., Wu, J., Ravi, N., . . . Steinberg, L. (2005). Effect of Iyengar yoga therapy for chronic low back pain. Pain, 115(1-2), 107-117. 10.1016/j.pain.2005.02.016

Published

2026-05-29