Reading psychoanalytic developments contextually: A reply to Bocknek on Kohut.

Replies to comments by Gene Bocknek (see record 2009-05605-008) on the author's original article (1986) on self psychology and Heinz Kohut. Masek believes that three problems separate his reading of Kohut's contributions from Bocknek's reading of Kohut and Masek's paper. All three problems converge on the issue of how Bocknek's response understands the issues raised in Masek's paper. These problems are as follows: (1) Precedents are not paradigms; (2) trends ≠ sameness of contributions; and (3) the relations between ego, the self, and Ego Psychology and Self Psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The superego in observing ego functioning.

The work of Sterba and Strachey is drawn upon to formulate the observing ego in terms of its close relationship to the superego as a whole. The superego proper and ego ideal of both patient and analyst play major roles in development and maintenance of observing ego function, as do superego and ego ideal components implicit in psychoanalytic procedure, set-up, process, and attitude. The crucial juxtaposition of real object/analyst with archaic object/analyst produces an analytically engineered conflict, with observing ego function itself a resultant compromise formation. Conditions that may enhance or hinder observing ego capacity are examined with particular reference to superego functioning. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The theory and practice of self psychology.

Reviews the book, The theory and practice of self psychology by M. T. White and M. B. Weiner (see record 1986-97572-000). White and Weiner provide a clear and concise overview of the central concepts of Kohut's self psychology in this clinically useful volume. Readers uninitiated in the self psychological literature are likely to gain an appreciation for the clinical utility of self psychological concepts. Readers who have previously explored Kohut's work may find (as did this reviewer) that a close reading of White and Weiner's book promotes a greater grasp of the evolution of Kohut's thought and a renewed appreciation for the profundity of his clinical observations. White and Weiner's book does have some minor shortcomings. The authors make little effort to place Kohut's self psychology within the historical context of psychoanalytic thought (keeping alive a tradition that some have said began with Kohut himself). As a result, useful and related efforts by others (e.g., Winnicott, Rogers, Binswanger, Sullivan, and others) at explicating the concept of the self go essentially ignored. Shortcomings notwithstanding, White and Weiner succeed in providing a highly accessible and lucid overview of self psychological concepts and in offering the reader a demonstration of how these concepts apply to the clinical situation. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

"Selfobject" Needs in Kohut's Self Psychology: Links With Attachment, Self-Cohesion, Affect Regulation, and Adjustment.

Seven studies examined the validity and usefulness of central constructs in Kohut's self psychology: selfobject needs for mirroring, idealization, and twinship and avoidance of acknowledging these needs. These constructs were assessed with a new self-report measure that was found to be reliable, valid, and empirically linked with a variety of constructs in contemporary personality and social psychology. The findings supported and refined Kohut's ideas about the independence of the 3 selfobject needs, the orthogonality between these needs and defensive attempts to avoid acknowledging them, the motivational bases of narcissism, and the contribution of selfobject needs to problems in interpersonal functioning, mental health, self-cohesion, and affect regulation. The findings reveal mutually beneficial conceptual links between Kohut's self psychology and attachment theory and suggest ways in which Kohut's theory can be studied empirically. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The Kohut seminars on self psychology and psychotherapy with adolescents and young adults.

Reviews the book, The Kohut seminars on self psychology and psychotherapy with adolescents and young adults by Miriam Elson (1985). This book is an editing of psychotherapy supervisory seminars offered in 1969-1970 by Heinz Kohut for psychiatrists, social workers, and psychiatric residents at the University of Chicago Student Mental Health Center. Patients focused on are late adolescents and young adults. Editor Miriam Elson's aim is to provide an understanding of Kohut's theories regarding narcissism and how this theoretical understanding was used by Kohut in treatment of pathological forms of narcissism. The book is divided into two sections, one describing Kohut's theory and the other Kohut's supervision of cases presented in the seminars. Concepts emphasized in Kohut's theoretical perspective--empathy, self-object function, developmental lines of narcissism and object love, self-esteem, understanding, the omnipotent/grandiose self, the idealizing transference and transmuting internalization--are developed and then applied in the casework. Effort is strongly made to relate theory to practice; through the editor's work this is accomplished. This is a readable, helpful book that can be used in psychotherapeutic work with late adolescents and young adults and, possibly, in other settings as well. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Psychotherapy after Kohut: A textbook of self psychology.

Reviews the book, Psychotherapy after Kohut: A textbook of self psychology by Ronald R. Lee and J. Colby Martin (see record 1991-98948-000). More than a decade since Kohut's death, the volume of writing in the field of self psychology continues to expand, testifying to the stimulating challenge of his theories not only to mental health professionals in all disciplines but to those in the humanities as well. The latest contribution, Psychotherapy after Kohut: A textbook of self psychology, is a welcome arrival. Each chapter opens with a paragraph outlining teaching goals and closes with a summary and suggested readings for the following chapter. Lee and Martin provide a review of classical Freudian theory, brief excerpts of the classic cases from which it was derived, the principal early controversies, and a new view of Ferenczi's contributions. Lee and Martin provide a thoughtful, carefully reasoned, and comprehensive synthesis of the work of those writers who in their opinion have enhanced and expanded the concepts of self psychology and those who deny the significance of self-psychological concepts for psychoanalysis or psychotherapy or seek to demonstrate that the ideas are not new. Informative and challenging, Psychotherapy after Kohut, with its integration and synthesis of many points of view, is a contribution to the field of textbooks. Readers will find much to inform and strengthen their understanding of psychotherapy after Kohut. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Psychoanalytic theory in the context of contemporary psychology: The Helen Block Lewis memorial address.

This article represents a tribute to the late Helen Block Lewis's commitment to integrating psychology and psychoanalysis. The current status of the formal structure of psychoanalytic theory was reviewed in relation to recent developments in general psychology. Specific attention was paid to the psychodynamic or motivational perspective, the structural perspective, and the genetic or developmental perspective as proposed by Rapaport. Following an examination of current trends in psychoanalysis and of the shift from a drive-, hydraulic energy model toward a relational model, specific proposals were made about the role of emotions as motives, and the implications of the tension between attachment or affiliation versus autonomous or self-esteem needs. In the structural perspective it was proposed that, as in social psychology, emphasis has shifted from the id, ego, superego model to a more specific focus on self schemas and belief systems. The recent emphasis in cognitive and social psychology on out-of-awareness processes suggests a new interest in the so-called topographical model of conscious and unconscious processes. At the developmental level the dominance of the object relations model meshes well with recent child research... (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Narratives and Culture: "Thickening" the Self for Cultural Psychotherapy.

The dominant framework for understanding selfhood in contemporary psychology has been one that privileges a highly individualistic conception of self. This is reflected in both the language and approaches of psychotherapy where the influence of contextual factors (factors outside of the individual) are given marginal consideration in order to maintain some type of 'objectivity' or 'neutrality' in counseling. We argue that an understanding of selfhood which does not take into account the 'relational' nature of selfhood as well as the cultural or historical context of the client, will likely alienate clients who do not view their self through the individualized lenses of (North American) psychology. In order to deal with this problem, we adopt an approach to cultural (and cross-cultural) psychology that views the self as a relational narrative. Such a narrative does not imply an unrestricted freedom to construct our self, but understands the limits to selfhood implied in the web of meanings constitutive of our culture and the web of relations from which our self emerges. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Kohut, psychoanalysis, and psychology—A response to Masek.

As a psychologist grounded in and respectful of general psychology, and as a clinician who uses and teaches ego psychological theory, it seems to the author that Masek (1986) overstates the meaning and contribution of Kohut's work. As he points out, the current status of psychoanalysis—as theory and as praxis—is unparalleled for its "creative ferment". Indeed, the metaphor of identity crisis might well apply to the timing and severity of the upheavals confronting the psychoanalytic movement today. But that internal chaos is not wholly attributable to Kohut. Both ego psychology and object relations theory raise questions which jeopardize such fundamental tenets of Freudian theory as the dualistic theory of libidinal and aggressive drives; the primacy of Oedipal conflict in the etiology of psychopathology; the neutrality and impersonal detachment of the analyst. In addition, the limitations of psychoanalysis as a treatment when costed against alternative therapies has radically reduced the client pool, thus raising other questions about theory and practice. From this context, the author reviews Masek's view of the impact of Kohut on the theory and practice of "mainstream" psychoanalytic thought. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Correction to Leone (2008).

Reports an error in "Couple therapy from the perspective of self psychology and intersubjectivity theory" by Carla Leone (Psychoanalytic Psychology, 2008[Jan], Vol 25[1], 79-98). Throughout the article, "Couples therapy" should read as "couple therapy," and "self-psychology" should read as "self psychology." (The following abstract of the original article appeared in record 2008-00996-006.) Central tenets of self-psychology and intersubjective systems theory (e.g., Stolorow & Atwood, 1992) are applied to the understanding and treatment of couple. The concepts of selfobject needs, unconscious organizing principles, and learned relational patterns are used to conceptualize common couples difficulties. A treatment approach is outlined, involving: (1) listening from within each partner's subjective perspective; (2) establishing a therapeutic dialogue through which each partner's selfobject needs, ways of organizing experience, and patterns of relating can gradually be empathically illuminated and transformed; and (3) facilitating new relational experiences with the couples therapist and eventually between the partners. Four concepts of self psychology that are particularly useful with some of the most challenging aspects of couples work are then discussed. Finally, the judicious use of directive interventions with couples is discussed as consistent with this perspective. A case example is used throughout the paper to illustrate key points. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The cultural psychology of the self.

Reviews the book, The cultural psychology of the self by Ciaran Benson (see record 2001-00374-000). This is a book rich in insight, deep in significance and, inevitably, marked by assumptions and interpretations subject to gentle disagreement. It is precisely because of its manifest assets that points of disagreement need to be highlighted. In this review I will address criticism only to the first half of the book, the criticism being more by way of an introduction to the issue than the suggestion of a settled position on it. I confine criticism to the first half not because of limited space. Rather, the foundational chapters on which the balance of the book's arguments depend are given in Part I. Part II then stands as an elevated and elevating "applied psychology of the self" resting on these very substantive and theoretical foundations. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Traumatic moment, basic dangers and annihilation anxiety.

It is contended that the fear of being overwhelmed or annihilated is a correlate of Freud's traumatic moment, constitutes a basic danger, and should be included in the series of fear of loss of the object, loss of love, castration, and superego censure. Traumatic and signal anxiety are conceptualized as two points in a series of potential responses, and it is assumed that mental representations of the early state of helplessness (originally preverbal) can later be anticipated. Major implications of annihilation anxiety noted by Freud and later psychoanalysts are reviewed, and are found to reflect fears of disintegration of the ego and of the self. Though it has been cited many times, the concept is relatively undeveloped. Key factors which increase the likelihood of annihilation anxiety are identified as traumatic experiences, ego weaknesses, and threats to self-cohesion. The prevalence of annihilation anxieties at various levels of psychopathology, as compared with other anxiety contents, is reviewed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Couple therapy from the perspective of self psychology and intersubjectivity theory.

[Correction Notice: An erratum for this article was reported in Vol 25(2) of Psychoanalytic Psychology (see record 2008-03991-018). Throughout the article, "Couples therapy" should read as "couple therapy," and "self-psychology" should read as "self psychology."] Central tenets of self-psychology and intersubjective systems theory (e.g., Stolorow & Atwood, 1992) are applied to the understanding and treatment of couple. The concepts of selfobject needs, unconscious organizing principles, and learned relational patterns are used to conceptualize common couples difficulties. A treatment approach is outlined, involving: (1) listening from within each partner's subjective perspective; (2) establishing a therapeutic dialogue through which each partner's selfobject needs, ways of organizing experience, and patterns of relating can gradually be empathically illuminated and transformed; and (3) facilitating new relational experiences with the couples therapist and eventually between the partners. Four concepts of self psychology that are particularly useful with some of the most challenging aspects of couples work are then discussed. Finally, the judicious use of directive interventions with couples is discussed as consistent with this perspective. A case example is used throughout the paper to illustrate key points. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Freud's case studies--Self-psychological perspectives.

Reviews the book, Freud's case studies--Self-psychological perspectives edited by Barry Magid (see record 1993-97398-000). The authors of the chapters demonstrate varying capacities to understand that all understanding is theory bound. The result is that some lean toward the position that self psychology offers us the true perspective through which we can understand a patient, whereas Freud was woefully lacking in any interest in immersing himself in the subjective experience of the patient. Empathy is seen by some authors as the exclusive domain of the self psychologists. By the end of this fascinating volume, one is newly excited by the depth psychology revealed via Freud's discoveries and by the possibilities of a continuing legacy of discovery. Familiar patients are revealed in new ways, giving evidence of the evolving nature of this complex science. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of Structures of Subjectivity: Explorations in Psychoanalytic Phenomenology.

Contends that since Kohut's death, a new generation of self psychologists continues to push forward into the areas he pioneered. In Structures of Subjectivity, Atwood and Stolorow offer a valuable new perspective within this psychoanalytic movement. They present their perspective in the form of a well-organized, comprehensive framework that speaks to the fundamental issues of psychoanalytic psychology--personality, development, psychopathology, and clinical theory and technique. The foundation for this psychological framework consists of the intriguing concepts of "structures of experience" and "intersubjectivity." At the heart of Structures of Subjectivity lies an epistemological dilemma about the nature of psychoanalytic phenomenology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Empathy's romantic dialectic: Self psychology, intersubjectivity, and imagination.

The author views Kohut's conceptualization of psychoanalytic empathy and its subsequent development by intersubjectivity theorists as an extension of a larger Romantic epistemological tradition in which the role of imagination in mental life is both central and precise. To illuminate this argument, the author reconsiders Kohut's distinction between the "presence of empathy" and "empathy as a mode of observation." Next is described the way in which the ambivalence represented by this distinction is resolved through intersubjectivity theory. Finally, the author explores several key aspects of the Romantic imagination as a response to Cartesianism in order to evolve an understanding of empathy as a bilateral procedure mediating self-experience and experience of the other. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Review of The relational self: Theoretical convergences in psychoanalysis and social psychology.

Reviews the book, The relational self: Theoretical convergences in psychoanalysis and social psychology edited by Rebecca C. Curtis (see record 1991-97680-000). The relational self, a collection of papers from a conference held at Adelphi University in 1990, represents the latest attempt at rapprochement between psychoanalysis and social/personality psychology. The core unifying theme in this new effort at integration is the relational self. The dialectical relation between the self and environment is well illustrated by four essays devoted to current perspectives from social psychology. Several other essays provide the reader with a glimpse of the richness and vitality in current research on the self. I see no easy way of reconciling the two underlying research traditions, which differ not only in their methods and aims but also in the basic language used to describe human experiences. Perhaps in these postmodern times, there is no urgent need to stretch paradigms in the quest for unity of science. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Punishment fantasies and the construction of reality.

The internalizations comprising the conscience are not a mere representation of what to expect of one's self and the environment. Such internalizations serve to relinquish incestuous object choices and derivatives and to undo and redirect dangerous hostile, competitive impulses. These internalizations are comprised of self and object-representations that are actively induced and reconstructed in the world. Further, such internalizations are organized sado-masochistically and function as a sort of normative perverse structure, reinforcing narcissistic fantasies of omnipotent control. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A modest confirmation of Freud's theory of a distinction between the superego of men and women.

Freud observed that a woman's superego is "never so inexorable, so impersonal, so independent of its emotional origins as we require it to be in men." In other words, the female superego is not as fully internalized as that of the male. 2 testable hypotheses were derived from this theory. It was hypothesized that in their dreams (a) women would be more often the victim of aggression and (b) men would more often suffer a misfortune. The data for the study were obtained from the content analysis of 3049 dreams. Both hypotheses were confirmed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)