Psychoanalytic reconstructions and empirical data: reciprocal contributions

Freud (1905, 1917, 1937) throughout his lifetime sought empirical scientific confirmation of the validity of his discoveries. In pursuit of this goal, he persistently emphasized the importance of establishing agreement between analytic reconstructions and the results of naturalistic child observation. The same objective lead Lichtenberg (1983), Emde (1981, 1985), and Stern (1985) to produce detailed evaluations of the impact of infant research findings on analytic developmental propositions. The present paper examines the relation among clinical reconstructions from an analysis developed through transference interpretations, empirical observations originating in the analytic patient's daughter's psychotherapy, and the results of empirical infant research that was being concurrently conducted by two of the authors. The findings from the clinical analysis of the mother, the psychotherapy of the daughter, and empirical infant research all converged on the same larger causative factor for the daughter's psychopathology--a type of maternal deprivation. Such a confluence of different sources of evidence, each identified by a different method of investigation, provides one kind of validation for psychoanalytic reconstructions, making it possible to provide that "satisfactory degree of certainty" which Freud (1937) called for in the attempt to integrate the patient's "psychic truth" with "actual" or historical truth.     

Murray Sidman's contributions to clinical behavior analysis

Murray Sidman was not himself a clinician nor directly involved in clinical research. Nevertheless, his experimental and conceptual work, especially in the area of stimulus equivalence, profoundly influenced the development of clinical behavior analysis. Before his work on stimulus equivalence, clinicians with a behavior analytic world view working with verbally sophisticated humans, were making some progress in understanding clinical phenomena and in developing innovative therapies. However, given the obvious and predominant role of verbal processes in both the development and treatment of clinical problems, that progress was constrained by the existing behavior analytic account of verbal behavior. Most fundamentally, it was hard to understand how, in the apparent absence of direct training, verbal events, even novel verbal events, acquire the functions of the nonverbal events that they stand for or represent. Sidman's work on stimulus equivalence, especially the transfer (transformation) of functions, offered an answer and thereby provided a conceptual framework of symbolic behavior around which clinical behavior analysis could cohere and develop.     

Family psychopathology: Cross training graduate marital and family therapy students in family assessment and psychiatric nosology

The structure of a course entitled Family Therapy with Major Psychopathology taught annually in the Mercer University Graduate Marriage and Family Therapy Program is presented. An epistemological presentation regarding the interface of psychiatric nosology and family systems assessment is discussed. Methods of diagnosing and assessing dysfunctional family systems are presented and training in individual psychiatric nosology is discussed, with particular attention given to family systems dysfunction as an etiological factor in the development of individual psychopathology. Learning techniques are discussed including lecture, discussion, case presentations, readings, and testing methods.     

Herbert Spencer's contributions to behavior analysis: a retrospective review of principles of psychology

Herbert Spencer's Principles of Psychology (1855, first edition) was regarded by his contemporaries, including William James and John Dewey, as a major contribution to what was then a very new discipline. In this book he first expounded his ideas about both evolution of species and how behavior of the individual organism adapts through interaction with the environment. His formulation of the principle that behavior changes in adaptation to the environment is closely related to the version of the law of effect propounded some years later by Thorndike. He can thus be seen as the first proponent of selectionism, a key tenet of behavior analysis. He also explicitly attacked the then prevailing view of free will as being incompatible with the biologically grounded view of psychological processes that he was advocating, and thus put forward ideas that were precursors of B. F. Skinner's in this important area of debate.     

Back to Basics: The Psychoanalytic Conceptualization of Motivation

Reconsideration of motivation, a fundamental concept in psychoanalytic theory, engages us with basic assumptions and postulates of our field and draws us to the borders with neighboring scientific elaborations of the design, structure, and function of the mind. This paper presents a concept of motivation from a perspective in modern conflict theory and correlates this concept with current thinking in evolutionary biology. The challenges that this correlation raises for all psychoanalytic approaches to motivation are discussed. Natural selection has fundamentally organized motivation in accord with the principle of inclusive fitness. Adaptive motivations of self-interest achieved through social success are paramount. In mind sciences there is a growing appreciation of the innately modular mind with mounting evidence for domain and content-specific evolved psychological mechanisms, the modern term for instincts. In regard to motivation in modern conflict theory, evolved mechanisms and predispositions are innately linked to pleasure–unpleasure and include, importantly, motivations of self-interest. The pleasure–unpleasure principle regulates motivation throughout life. Early mother–child interactions are vital to the development and contextualization of motivation; however, these interactions themselves depend on mutually coadapted mechanisms that give vectors and impose constraints on every primary relationship. In evading innate contributions there is a danger of embarking on a new creationist paradigm.     

Translational contributions of the experimental analysis of behavior

It has been argued that to increase societal impact behavioral researchers must do more to address problems of obvious practical importance. The basic science wing of behavior analysis has been described as especially detached from this goal, but is it really necessary that basic science demonstrate social relevance? If so, why hasn''t this occurred more often, and what can be done to improve the status quo? To address these questions and to stimulate discussion about the future of basic behavior science, I describe two widely embraced arguments in favor of pure basic science (that which is undertaken without concern for practical applications); explain why a translational research agenda is likely to better recruit tangible support for basic science; propose that addressing practical problems does not require basic science to abandon its focus on fundamental principles; and identify some possible impediments to translational innovation that may need to be addressed for basic behavior science to increase its translational footprint.     

Response to Safran: The Development of Critical Psychoanalytic Sensibility

Jeremy D. Safran feels that my views regarding the relative merits of case studies and systematic empirical research are unnecessarily polarizing. I feel that, on the contrary, I'm offering bridges between my perspective and those of researchers on psychoanalytic process and outcome in two ways. One is through my own constructivist critique of traditional positivist case studies and theorizing based upon clinical experience. The second is through conceptualizing the place of systematic research within a constructivist paradigm. I am arguing that its place can be no different than that of case studies. Both generate possibilities for any particular analyst or analytic therapist to have in mind as he or she works with a particular patient at a particular moment. Safran locates the destructive effects of scientism with “biologically oriented researchers and cognitive therapists.” In my view, it might be convenient if the problem could be located exclusively with them, but the fact is that psychoanalytic researchers, as I demonstrate, are working largely within the same paradigm as their adversaries in the research world. That paradigm erroneously privileges systematic research as hypothesis-testing, whereas case studies are relegated to the status of anecdotal, hypothesis-generating work. I describe what I call “nonlinear constructivist learning” as the kind of “generalization” that case studies can yield and that is optimal for our field.