On Attachment to Internal Objects

This paper considers some clinical implications of attachment theory from the perspective of the theory of internal object relationships and the unconscious phantasies that derive from such relationships. The paper focuses on the contributions of Bowlby and his followers, particularly Mary Main, who has developed a language-based methodology to study representational processes in adults and children, bridging the gap between the systematic study of human behavior and clinical psychoanalysis. The theory of inherent role responsiveness in the internal object world—mental representations of self and other in interaction and externalized in complementary role relationships through exchanges of unconscious and conscious messages—is presented as the psychoanalytic complement of Bowlby's theory of internal working models of attachment. Role responsiveness occurs internally as well as externally, so that one can speak of attachment to phantasy objects as well as external objects. Clinical examples illustrate how the therapist, through maintaining a free-floating responsiveness to the patient's enactments, may reconstruct the internal working models of attachment and their origins in the transference. The paperthus illustrates the way in which the origins of phantasy derive from the wished for and feared states related to early experiences of felt security, or lack of it, in relation to the attachment objects, thereby integrating the psychoanalytic theory of phantasy with attachment theory.     

依恋内部工作模式的社会认知研究

社会认知取向的成人依恋研究,在验证依恋理论的核心假设和探索与情绪调节策略、依恋系统活动有关的心理活动过程方面取得了长足的进步。这种把当前社会认知理论特别是心理表征这一重要概念运用到理解依恋的内部工作模式（internalworkingmodel）中去的价值已经逐渐显露。文章概述了关于内部工作模式与心理表征的关系及其在启动效应、可得性与通达性、记忆、情绪、归因等五个重要方面的研究进展,并对将来的研究进行了思考与展望     

An attachment perspective on grandparents raising their very young grandchildren: Implications for intervention and research

The purpose of this article is to apply an attachment perspective to the growing number of families with grandparents raising grandchildren to increase our understanding of the complexity of intergenerational relationship processes in these families and to guide early intervention and research. It is proposed that, as grandparents take responsibility for their grandchildren, three relationship processes simultaneously occur: (1) disruptions in attachments potentially occur, especially in relationships involving parents, (2) attachment relationships between grandchildren and grandparents develop or are revised, and (3) family members' internal working models of attachment and caregiving are challenged and shaped. To address these processes, attachment theory and research focusing on the formation, disruption, and intergenerational transmission of attachment relationships are reviewed. Conclusions suggest that when grandparents assume responsibility for grandchildren, families may need and be particularly open to a range of interventions. In addition, research focusing on attachment relationships in families of grandparents raising grandchildren is needed. ©2003 Michigan Association for Infant Mental Health.     

Developing the internal observer in professionals in training

Fonagy (Fonagy, Steele, Steele, Moran, & Higgitt, 1991) defines the “self” as the immediate experience of life and the “reflective self” as the internal observer of mental life that knows the “self” and reflects upon mental experience, both conscious and unconscious. Developing this internal observing self has been found to be an extremely valuable skill that enhances the capacities of those working in the caring professions and with relationships. The technique that has been developed is called Infant Observation because it began with those training in the Child and Family Mental Health field. It has, however, grown and expanded and can involve observing infants, young children, older children, families, and institutions. The evolution in the child of the “reflective-self function” (Fonagy et al., 1991) is seen as an essential step in emotional development. Refining and sharpening this skill in those working with the effects of relationships on relationships is, we would suggest, an equally essential step in the professional development of workers. What we hope to achieve is something akin to the internal observing self, but this internal observer is an aspect of the self, the individual who is capable of self-observation as a professional tool. This paper describes, in two parts, the process by which the skills of trainees in the caring professions can be developed. In the first part, the training experience and the working of the seminar are described. In the second part of the paper, the process of identification with the observing function of the infant observer is explored by presenting a case of a 7-month-old baby girl.     

On the countertransference of the patient: Transformations of the psychoanalyst's 'theoretical self' and their possible articulations with the vicissitudes of the analytic relationship

In this paper the author examines one of the many levels of the analyst/analysand relationship: the possible interaction between the analyst's mental routes in relation to theories (also meant, but not only, as internal objects) and the vicissitudes of the psychoanalytic relationships with his patients. The author assumes that an important variable affecting the transformation of certain therapeutic relationships is the change that takes place in the relationship between the analyst and that part of his internal world where his theories find their place. He names this part of his internal world 'theoretical self', and 'precipitates of the analyst's theoretical self' those complex formations, akin to more or less cohesive conglomerates, that are formed by his relationship to theories and to psychoanalytic institutions, and by the various, 'personal' internalised objects. The psychoanalyst will relate to these precipitates in a variety of ways, and he will make use of them mostly at an unconscious level in his analytical work; and his patient is likely to 'react' to them, almost chemically. The author also offers some working indications: the psychoanalyst, despite his knowledge of some aspects of his own countertransference, is in fact lacking in knowledge, unless he constantly does some extra work focusing on how his mental position (i.e. the relationship with the precipitates of his theoretical self) may intervene in any of the therapeutic relationships that he establishes-not necessarily in the same way in each of them. The author also illustrates his reflections and conceptualisations by reporting dreams and excerpts from sessions taken from three psychoanalytic treatments in the course of several years.     

Attachment-dissociation network: some thoughts about a modern complex theory

The paper revises the complex theory in the light of modern infant research, neurosciences and object relation theory. The author takes up Jean Knox's idea to understand complexes as analogies to the internal working models of attachment theory. The author proposes to understand complexes as dissociated sub-networks out of the network structure of the psyche; these sub-networks contain the internal working models, the characteristic affects and unconscious expectation phantasies. With this network model one can try to understand severe defensive organizations in some patients as a pathological organization of different complexes. This is illustrated by a clinical example.     

Über die Bindung an die inneren Objekte

Sandler sees the possibility of constructing a bridge between attachment theory and psychoanalysis by extending the concept of motivation to involve now a primary need for attachment. Attachment to the object is the basis for the existential feelings of safety and well-being. Connections to the development of internal object relationships and to unconscious phantasy are discussed. Consequences for psychoanalytic countertransference are shown.     

AN ESSAY ON DREAMING,PSYCHICAL WORKING OUT AND WORKING THROUGH2

In this paper the author attempts to expand the idea put forward by Freud who considered dreams as a special form of unconscious thinking. It is the author's contention that the psychical working‐out function performed by dreams is a form of unconscious thinking, which transforms affects into memories and mental structures. He also attempts to clarify the way in which meaning is built and transformed in mental life. In that respect the unconscious internal world is seen as a form of unconscious thinking, a private theatre where meaning is generated and transformed. He focuses on what happens to feelings in dreams in connection with the meanings as a result of and an expression of the several stages of working through. The dream world is described as the setting where the mind gives expressive pictorial representation to the emotions involved in a conflict: a first step towards thinkability. The dreamwork also constitutes a process through which meaning is apprehended, built on and transformed at an expressive non‐discursive level, based on representation through figurative/pictorial images. The author draws on Meltzer's formulation to conjecture that the working‐through function of dreams, mainly in response to interpretations, is performed by a process of progression in formal qualities of the representations made available by dreaming in the form he has called affective pictograms. It is through progression in formal qualities of the representation that the thinking capabilities of the affective life develop and become part of the process of what is called metaphorically the metabolisation of emotional life. This process takes place through migration of meaning across various levels of mental process. In this perspective the analyst'sinterpretations of dreams effect what linguists call transmutation of the symbolic basis, a process that is necessary to help the mind to improve its capacity to think. Something expressed on the evocative plane and condensed into a pictographic image is then transformed into verbal language that expresses meaning. These conceptions are illustrated by a detailed clinical case.     

Drives and objects - notes on the change of drive theory

Freud’s drive theory has been questioned since the 1940s when Fairbairn created a metaphor of the mind that is not based on the tripartite model and drive theory. His work inspired others to elaborate on the significance of internal object relationships. According to the object relation theory, internal object relations are dynamic structures capable of generating meanings and action. Consequently, two distinct metapsychologies were created.The aim of this article is to show how the interaction of theories has initiated revisions of classic drive theory. Freud’s concept of drive and three synthesizing viewpoints between the two perspectives are discussed. Otto Kernberg addresses affects as a primary motivational system; the mother–infant relationship organizes affects to drives. Joseph Sandler adheres to classic drive theory but proposes that the ego’s attempt to protect the mind against psychic pain is as important as drive derivatives in motivating the mind. Laplanche proposes that the unconscious of the care-giving adult is the crucial factor for the constitution of an infant’s unconscious and drives. For Freud and Klein, drive is inherent. Contemporary writers, like Loewald and Laplanche, conceive drive as a function of the mind that is born out of the same matrix of interaction with the other elements of the mind.     

“Of Course All Relationships Are Unique”: How Co-creative Processes Generate Unique Mother–Infant and Patient–Therapist Relationships and Change Other Relationships

The question of the uniqueness of relationships is examined: How do relationships come to be unique? What are some of the features of their uniqueness? And how can relationships, be it the mother—infant relationship or the patient—therapist relationship, have unique rather than archetypical effects on other relationships? A model of relationship uniqueness is presented that argues that mother and infant, and patient and therapist, co-create dyadic states of consciousness—states of making implicit and explicit sense of the world—out of their normally messy exchanges of age-possible meanings. These co-creative processes lead to change in the infant's and child's state of knowing the world, and also change the way the patient makes sense of the world and ways of being with others. Additionally presented are (I) a critique of attachment theory's assumption that the mother—infant relationship is the prototype of later relationships; (2) a critique of models of therapeutic change that see adult analysis as working primarily in the same domain as the workings of the mother-infant relationship; (3) a brain model of co-creative relational processes, Relational Activation Patterns (RAPs); and (4) possible psychodynamic processes in infants.     

Soziales Netzwerk Psyche

In six steps I attempt to show how modernized psychoanalysis contributes to a ??social theory of mind?? (Mitchell, pp.?17?f.). First of all, the pluralism of schools is reflecting the lack of a psychoanalytic core theory, a shortcoming which is merely concealed by its conceptional oversupply and can only be overcome by scientific research. Secondly, I suggest to give up the inclination towards deep thinking, typical of our profession always on the lookout for new metaphors of the psyche, and to replace this inclination by the precise observation of interactions. Thirdly, I discuss the suggestion to understand the unconscious as a hidden link between self and the real world, as a relational tendency of the psyche to connect??a legacy of symbiotic experience??the inside with the outside not only in dreams but in reality. This is, fourthly, my understanding of the unconscious drive of human mind to express itself in a social world whose interactive platforms only allow that building of mental structures we call mentalization, according to Fonagy. Fifthly I point out that the monadic theory of mind implicated in classical drive theory is obsolete in a scientific sense in order to plead, sixthly, for a modernization of psychoanalysis replacing its central metaphor of the mental apparatus by that of a mental network: The modernized psyche is nowadays less in charge of managing intrapsychic drive-economy; its main duty in the age of modern reflexivity seems to be the skilful management of self-relation in the broadly stretched network of interpersonal relationships.     

Klein's Archaic Oedipus Complex and Its Possible Relationship to the Myth of the Labyrinth: Notes on the Origin of Courage

The ancient Greek myth linking the images of the labyrinth and the Minotaur provides an allegory for Melanie Klein's conception of the archaic Oedipus complex as well as a vivid illustration of Winnicott's notions of object usage and the 'subjective object'. The labyrinth is suggestive of mother's body as the first area for an infant's exploration and putative sadistic conquest. The Minotaur, in turn, suggests the infant's unconscious phantasies about the content of mother's body, namely such projective identifications onto that body as the paternal penis and the 'internal babies'. Further, the heroic dynamic personified by Theseus in the myth of the labyrinth metaphorically signifies what is here proposed as a developmental line that involves the courage to do a number of things, including to become, to create, to seek, to explore, to do, to challenge, to undertake risks, to accept, to rescue, to initiate, to think, to know and to realize. The Minotaur can thus be thought to serve as a universal subjective signifier for an 'Object of Challenge', which, if not successfully dealt with by the ego-development of the infant, transforms that default into the 'Object of Nemesis'. Ultimately, this myth of mastery speaks to the psychoanalytic process itself as well as casting light on the transformative aspects of sexual intercourse as a personal healing ritual.     

Perceived Benefits and Costs of Romantic Relationships for Young People: Differences by Adult Attachment Style

Bowlby's attachment theory suggested that the attachment experiences of early childhood influence adult approaches to close relationships. As a result of these experiences, the child develops typical mental schemas or internal working models. The aim of this study was to analyze how young people with different attachment styles perceive the benefits and costs involved in spending as much time as possible with their partner, and to determine whether their beliefs reflect the internal working models associated with their attachment style. A sample of 1,539 university students responded to the Relationship Questionnaire (Bartholomew & Horowith, 1991), and to a questionnaire about behavioral beliefs (perceived benefits and costs). Results show that young people with different attachment styles hold different beliefs about the consequences derived from engaging in a specific behavior in romantic relationships. Secure and preoccupied individuals perceived more benefits than costs associated with the behavior, whereas dismissing and fearful individuals perceived more costs than benefits. Furthermore, secure and preoccupied individuals rated those behavioral consequences leading to enhanced intimacy or closeness more positively than avoidant individuals, whereas dismissing individuals rated more negatively those consequences that involved a loss of independence. These results confirm that a congruity exists between the beliefs associated with the behavior studied and the internal working models related to each adult attachment style.     

An exploratory study of psychodynamic therapists’ working with people with multiple sclerosis

There is little published on working psychodynamically with chronic illness and even less on the clinical insights of therapists working with people with multiple sclerosis. The objective of this study was to consider therapists’ reflections on the impact of multiple sclerosis on the internal worlds of clients with multiple sclerosis. I would also like to think about the challenges multiple sclerosis presents and how these challenges are worked with therapeutically. Finally, the impact of my multiple sclerosis diagnosis upon the research interviews was considered. Twelve counsellors / psychotherapists who had experience of working with clients with multiple sclerosis were interviewed. Data was analysed thematically and the findings revealed a number of significant themes. Denial appeared significant both for those with multiple sclerosis and those therapists working with them. Therapists also identified that people with multiple sclerosis hold a range of conscious and unconscious feelings in relation to their multiple sclerosis. Also, the meanings and impact of multiple sclerosis are broad and idiosyncratic. Therapists also faced a number of challenges in their work with people with multiple sclerosis: powerful countertransference feelings which could disable the therapy, embodied countertransference, the tendency to make generalisations, the physical reality of multiple sclerosis and its impact upon continuity, therapists’ unconscious phantasy and associations which if unaddressed could impact their ability to work with illness and the pressure multiple sclerosis placed on therapeutic boundaries. Therapists within the study recognised the need to work with both the physical reality of multiple sclerosis, as well as its psychological impact while at the same time keeping themselves open to powerful countertransference feelings and using them in the service of the therapy. The study has implications for theory, practice and future research.     

The non-symbolic level of psychical reality

Freud introduced the concept of psychical reality as a consequence of abandoning the theory of seduction, and although this meant a turning point in his theoretical thinking he never defined the concept concisely and systematically. Thus it is possible to delineate at least two meanings of psychical reality that run through Freud´s writings as well as the writings of contemporary analysts. On the one hand psychical reality encompasses the whole field of subjective experiences. On the other, it is understood more narrowly as a transformation of experiences in the unconscious.

Substituting the idea of different meanings ascribed to Freud´s concept this article proposes to differentiate between levels in the psyche with the main focus on the unconscious level of the dream and of phantasy and the real unconscious. Starting from the most superficial level of subjective reality the text moves to that of fantasy formation illustrated by primarily Freud´s text on `A child is being beaten´. Adding Laplanche´s translational model the article ends up at the deepest level represented by the late Lacan and his concept of the real Unconscious.

The paper concludes that the term real points to something exceeding symbolization and the imaginary—thus escaping comprehension—and yet is absolutely indispensable to the organization of unconscious processes.     

Empirical evidence supporting the conceptual relatedness of object representations and internal working models

The proliferation of new developmental and clinical theories broadly termed "psychoanalytic" demands a methodology for making systematic comparisons to establish the commonalities and distinctions among them. This article presents an empirical method for the comparative evaluation of such theories. The Mother-To-Child Object Representation / Internal Working Model Q-sort is a 100-item instrument constructed to assess the quality of the prototypical mother's object representation and internal working model of her child at age five. Object relations judges were asked to sort these items for a complex, differentiated, integrated object representation of a five-year-old, attachment judges for a secure, coherent, freely valuing internal working model of a five-year-old. Judges' criterion Q-sorts in each group yielded a composite criterion Q-sort of the quality of the prototypical mother's mental representation of her child according to each group's theoretical perspective. The Spearman-Brown correlation between the two composite criterion Q-sorts was r = .90, p < .001 , suggesting that when confined to a 100-item common vocabulary, judges representing each theoretical construct agreed on the conceptual relatedness of object representations and internal working models. The theoretical constructs of object representations and internal working models share common assumptions in need of further exploration.     

Field Theory: Commentary on Paper by Donnel B. Stern

Stern offers a compelling introduction to a comparative theory of the field in his examination of its origins in the work of Harry Stack Sullivan and of Madeleine and Willy Baranger. Although he notes that Sullivan and the Barangers developed their field concepts separately, I suggest that there is a common context, and I detail this in regard to the early history of the concept, particularly in regard to Merleau-Ponty. Stern describes well the points of common use of the field concept and highlights differences that are the defining line between relational thinking and other orientations. In his view, the Barangers do not adequately take into account the analyst's inevitable participation and do not in the end step out of framing the unconscious as an internal process. I question this reading and ask how we might benefit from an “epistemological pluralism” that would invite working from diverse perspectives.     

Understanding attachment security in family context

Attachment theory (J. Bowlby, 1969) is not just about how internalized models of relationships affect interpersonal outcomes; it is primarily a theory about how interpersonal processes affect social and cognitive development. This study tested 3 hypotheses about the interpersonal sources of adult attachment security: (a) attachment security is relationship specific, (b) characteristics of partners affect attachment security, and (c) security of attachment is reciprocated. Measures of attachment security were obtained from 2 parents and 2 children (adolescent or older) in 208 middle-class families. Results of social relations model analysis (D. A. Kenny & L. La Voie, 1984) supported all 3 hypotheses. The author concludes that internal working models of relationships may not be so "internal" after all and that greater emphasis on the interpersonal sources of adult attachment security is warranted.     

Analysts in Search of an Author: Voltaire or Artemisia Gentileschi? Commentary on “Field Theory in Psychoanalysis,Part 2: Bionian Field Theory and Contemporary Interpersonal/Relational Psychoanalysis” by Donnel B. Stern

The authors comment on Stern's characterization of differences between interpersonal and relational psychoanalysis and Bionian field theory. The critical points on which a consensus is not, for the time being, readily possible concern the relationship between the external and internal worlds and the various conceptions of unconscious experience. They believe that, before forging a link with the external world (whose role we would be foolish to deny), it is clinically more useful to apprehend this internal world as rigorously and over as wide a range as possible—which they do by radically transforming the external world into a dream of the field. Conversely, in their view we may be reassured but partly misled by the concept of a dialectic between the external and internal worlds that fails to take account of the utter pervasiveness of the unconscious and the fact that it speaks even when seemingly silent—not only negatively in micro- and macroenactments but also positively in waking dream thought, which is an expression of its poetic activity that unceasingly confers meaning on experience.     

Love imagined: Working models of future romantic attachment in emerging adults

An attachment theory perspective guided this investigation of emerging adults' (N = 174) expectations regarding relational patterns in their future long‐term romantic relationships. Participants' working models of future romantic attachment were assessed by having them respond to an attachment measure with respect to an imagined future committed relationship. Dimensions of future attachment predicted participants' anticipated relationship dynamics in the imagined relationship, their focus on closeness and abandonment when writing about having a future long‐term relationship, and their change in state anxiety over the course of the study. These effects of future attachment remained statistically significant after controlling for current global attachment, parental caregiving sensitivity, and conflict between parents; most of these effects were not moderated by current dating status.