The double bind in psychoanalysis

The concept of the double bind has mainly flourished in the family system therapies. By contrast, it has been overlooked by psychoanalytic therapists. The present paper suggests that the double bind, while not regarded with the same importance as the intrapsychic or interpersonal factors, is certainly real. A concept of the analytic double bind is presented. The analytic double bind is not one of paradoxical, mixed messages and conflicting levels of communication. Instead, it arises from a conflict of incompatible levels of intimacy — specifically, the conflict between technique and intimacy. An attempt is made to delineate the central double bind both from the viewpoint of the analyst and from the viewpoint of the patient.     

The little puppet: working with autistic defences in mother-infant psychotherapy

This paper outlines a constellation around birth in our society that is related to advanced western medicine and the way that families move around the globe. It describes a brief therapy with a three-year-old child who was diagnosed as autistic, and a mother who resorted to 'heroic' defences against the anxiety of being unsupported in a strange country. The therapist undertook to process the catastrophic experiences of the birth as expressed in the child's play and transform the accompanying monstrous fantasies into human experiences and thoughts. By providing a maternal container for both mother and child, the therapist was able to dissolve the couple's negative enmeshment and help create a space in the mother's mind in which she could process her own feelings, and thereby process and understand the child's feelings and communications.     

Psychotherapy with compulsively striving professional women 2: Clinical issues

In a previous paper I described the common characteristics of seventeen women between the ages of 22 and 42 with whom I had worked over the past few years in private psychotherapy practice, and who, I suggest, constitute a specific patient group, which I call ‘compulsively striving professional women’. I went on to explore the developmental, theoretical, cultural and systemic context of this group. In this paper I consider the challenging clinical issues raised in working with them.     

The group as selfobject: brief psychotherapy with women

This article applies the theory of self psychology, which was developed by Heinz Kohut, to brief group psychotherapy. The article discusses the significance of the group as an expanded selfobject for individuals who do not have appropriate, available selfobjects in their environment. The article addresses the rationale for developing a 12-week women's group from a self-psychological perspective and illustrates key theoretical concepts in the beginning, middle, and end phases with group process. The role of the therapist in each phase of group development is emphasized.     

The double bind of caregiving: Representation of gendered emotion in American advice literature

Parent advice books written for the traditional, intact biological family represent maternal and paternal emotion quite differently from one another [S. A. Shields and B. A. Koster (1989) Emotional Stereotyping of Parents in Child-Rearing Manuals, Social Psychology Quarterly, Vol. 52, pp. 44–55]. This study examined gender-specific references to emotion in advice books directed to adoptive parents, step-parents, single parents, and married couples in order to determine the relationship between beliefs about women's and men's emotional natures and beliefs about caregiving. The gendered representation of caregivers' emotion is remarkably consistent across time, parenting genre, and author characteristics. Books directed to parents portray women as at risk for excessive emotions (both positive and negative) that have negative developmental impact on the child. In contrast, men are largely encouraged to be emotionally expressive, and when they are cautioned about their emotional display, the caution is restricted to negative emotions that are elicited by external emotional hazards: the children, the spouse (or ex-spouse), or the situation. In contrast, marriage manuals portray spouses as mutually responsible for their own and their spouse's emotional well-being. Husbands and wives are encouraged to express unlimited positive emotion and to engage in moderated ventilation of negative emotion. In our discussion of these results we consider the role of emotion representation in promoting a culture of mother blaming.We are indebted to Diane Early, Diane Hayashino, Nancy Kohn, and Sonja Jensen for their assistance in collecting and interpreting the data. This research was supported by University of California, Davis, Faculty Research Grants to S. Shields.     

The women's movement in the working class

Working-class women's reactions to the women's movement are frequently discussed, but there is little empirical research on the issue. The present study examines the dimensions of support in two planes: the particular issues that engender favorable or unfavorable reactions, and the characteristics of women who are generally supportive or hostile to the movement. Supporters are found to emphasize the movement's contributions to their sense of self-esteem and entitlement; opponents emphasize sexual morality and the social segregation of the sexes. The mildly sympathetic or tolerant, who comprise the majority of the sample, see the relevance of the movement primarily in terms of future generations. In a discriminant function analysis, work experience and personal satisfaction are found to significantly distinguish between these three attitudinal groups.     

Psychotherapy with compulsively striving professional women 1: Introducing the patient group

In this paper I develop a profile of compulsively striving professional women with whom I have found myself working in private psychotherapy practice. I put them into a developmental, systemic and cultural context, and suggest a theoretical perspective. In a subsequent article (‘Clinical issues’) I shall describe the challenge they present from a clinical point of view and how these difficulties might be addressed in individual psychotherapy.     

Abstract versus concrete goals: personal striving level, physical illness, and psychological well-being.

This study examined the relation between personal striving level and psychological and physical well-being. Level refers to the degree of generality versus specificity of one's goal strivings. In 3 studies, 188 Ss generated lists of their personal strivings, which were then rated on specificity level. High-level striving was associated with more psychological distress, particularly depression. Low-level striving was related to higher levels of physical illness. Correlations between striving level and self-reported symptoms were generally not as strong as those between level and the more objective illness indicators. High-level strivings were seen as more difficult and requiring more effort than low-level strivings. Results are interpreted in terms of control theory, goal-setting theory, and the repressive personality style.     

Implications of attachment theory for working in psychoanalytic psychotherapy

John Bowlby's Attachment Theory is being increasingly operationalised in the world of developmental research, but as yet its implications for clinical work are relatively less discussed. This paper addresses the issue of the measurement of attachment patterns and how knowledge of these can inform psychoanalysts’ work with their patients. It looks at the implications of Attachment Theory at all stages of the therapeutic process, but concentrates particularly on how it can help with the crucial phase of building the working alliance.     

Anaesthesia or psychotherapy: Eradicating thoughts or working them through

The author presents two sessions from the analysis of a depressive narcissistic doctor, which are characterised by a mixture of co-operation and pseudo-co-operation. The dialogue is in parts intellectualised, complicated, lifeless and schizoid. Points at which the patient shows surprising insights are then partly denigrated by him, on the basis that change is not to be expected. Semi-lifeless contact assists the defensive claustrophobia that he experiences in meaningful contact. It becomes very clear that he is then afraid of entering into an openly aggressive conflict that entails the existential threat of object loss. However, this has so far been avoided. The secret pleasure in an anal-narcissistic, sadomasochistic addiction to doubt persists in the partial denigration. The patient's artificially maintained self-doubt and doubt of the object reinforce a genuine confusion that consists in never knowing exactly what lies behind the helpful and needed object.     

A personal view: Counselling and women

This personal view explores a number of gender issues relating to counselling and women clients. Attention is drawn to the lack of content of many training courses in the psychology, sociology and biology of women. Links are drawn between a woman's position in society and mental health. It is argued that counsellors need to be alert and sensitive to women's special needs and to avoid an emphasis on intra-psychic aspects at the expense of acknowledgment of societal pressures.     

Gregory Bateson on deutero-learning and double bind: a brief conceptual history

The concepts of deutero-learning and double bind have acquired an increasingly important status in various fields of social and behavioral science, particularly in psychiatry, psychotherapy, organization, and policy science. With this proliferation, however, their original meaning and significance has become increasingly muted. In this article it is argued that both concepts are important ingredients of a behavioral theory of (organizational) learning. To support this argument, the development of both concepts is traced to the work of Gregory Bateson. In Bateson's thinking, the two concepts have a firm base in dyadic behavior and interaction.     

The motivational properties of hope in goal striving

We argue that hope is not an expectancy based on beliefs about pathways to desired goals and personal capacities to act on them, but an experience of the mere possibility of a desired outcome. We propose that in the latter sense, hope has unique motivational consequences for goal striving. Specifically, we predicted that hope buffers against the detrimental impact of negative feedback on goal-progress. The results of the two studies confirmed this prediction. In Study 1, we measured participants’ hopes of attaining a weight-loss goal. In Study 2, we induced hope at solving an unsolvable mathematical puzzle. In both studies, receiving negative feedback on goal-progress resulted in lower levels of success (Study 1) and persistence (Study 2) in goal-striving, but not for participants who experienced hope. We discuss the role of hope as an affective mechanism that functions to regulate energy expenditure in goal-striving.     

Ethnic identity and personal well-being of people of color: a meta-analysis

This article summarizes research examining the relationship between the constructs of ethnic identity and personal well-being among people of color in North America. Data from 184 studies analyzed with random effects models yielded an omnibus effect size of r = .17, suggesting a modest relationship between the 2 constructs. The relationship was somewhat stronger among adolescents and young adults than among adults over age 40. No differences were observed across participant race, gender, or socioeconomic status, which findings support the general relevance of ethnic identity across people of color. Studies correlating ethnic identity with self-esteem and positive well-being yielded average effect sizes twice as large as those from studies correlating ethnic identity with personal distress or mental health symptoms. Ethnic identity was thus more strongly related to positive well-being than to compromised well-being. Overall, the corpus of research reviewed consisted of correlational designs; limited scholarship has addressed causal mechanisms, mediating factors, or psychological functions of ethnic identity across different social contexts.