Understanding and Treatment of Narcissistic Personality Disturbances

The author discusses how sexuality on the one hand develops and changes during childhood, but on the other hand, holds onto the old residues of different, earlier phases. In adult sexuality, there always remain enigmatic, regressive, even borderline emotions and feelings from earlier experiences. These residues make sexuality incomprehensible and primitive, but also offer possibilities for dreams, fantasies and creativity later in life. Autoerotic fantasies, object fantasies, enigmatic knowledge, sexuality fantasies and creative thinking are realised via these developmental residues.     

Controlling the uncontrollable. Self-regulation and the dynamics of addiction

The multidisciplinary research on addictions generally promotes the assumption that addictive behavior is caused and maintained by the external psychoactive substance, which accordingly is considered to be ‘addictive in itself’. The present article challenges this widespread assumption by engaging in a detailed examination of the psychodynamic structures of addiction. Tracing addictive behavior back to problems in affect regulation, the article discusses the object, motivation, dynamics, and developmental origins of addiction. Linking the problem with the topic of transitional object relations, the article eventually argues that addictive behavior amounts to a desperate pursuit for self-control. The tragedy of the addict is that he or she only manages to replace one sense of uncontrollability with another.     

FERENCZI’S EVOLVING CONCEPTION OF NARCISSISIC PATHOLOGY AND ITS BASIS IN TRAUMA*

Ferenczi’s landmark contributions to understanding and treating psychological trauma are inseparable from his evolving conception of narcissism, though he grasped their interrelationship only gradually. Ultimately, he saw narcissistic disorders as the result of how children cope with abuse or neglect, and their aftermath—they identify and comply with the needs of the aggressor, and later of people more generally, and dissociate their own needs, feelings, and perceptions; and they compensate for their submission and sacrifice of self by regressing to soothing omnipotent fantasies—which, ironically, may facilitate continued submission. Ferenczi’s experiments in technique were designed to help patients overcome their defensive retreat to omnipotent fantasies and regain their lost selves. His earliest experiment, active technique, in which he frustrated patients, was a direct attack on their clinging to omnipotent fantasy. But as he came to see such narcissistic personality distortions as a way of coping with the residue of early trauma, his focus shifted to the underlying trauma. His loving and indulgent relaxation technique was intended as an antidote to early emotional neglect. His final experiment, mutual analysis, characterized by the analyst’s openness and honesty in examining his own inevitable insincerities, was an attempt to heal the damage from parents’ hypocrisy about their mistreatment, which Ferenczi came to see as most destructive to the child.     

Recognition and Treatment of Late-Life Addictions in Medical Settings

Addictive disorders among the elderly have emerged as a growing public health concern. As the proportion of the elderly population increases, more and more older adults will either develop addictions as a dysfunctional means of coping with the psychosocial consequences of aging, or will carry their long-standing addictive behaviors with them into later life. Among the most common of these addictions are smoking, excess consumption of alcohol, and gambling. This article briefly reviews these three addictive disorders and examines assessment and treatment options. The current cohort of older adults tends not to seek help for addiction problems in specialty mental health or substance abuse treatment. To improve rates of cessation and abstinence, assessment and intervention should be delivered in general medical settings such as primary care. With the addition of a behavioral health specialist, primary care has the potential to offer improved interventions in a cost-effective and time-efficient manner.     

Discussion: The Analyst's Involvement in the Creative Aspect of Analysis

Recent formulations on the psychology of creativity in the analytic context, such as Albert Rothenberg's “homospacial thinking,” Arnold Modell's “unconscious metaphoric thought,” and Thomas Ogden's “transformational thinking,” are discussed. These concepts enable previously unconnected experiences to be combined within the mind, while emphasizing interpersonal imaginative processes such as identification and empathic knowledge; the dual cognitive features of these formulations permit awareness of the complexity of feelings in oneself and others, essential for psychoanalytic creativity. Further, the articles in this issue are synthesized, highlighting the importance of the analyst making creative (new and valuable) use of his or her entire life experience, feelings, attitudes, and fantasies in treatment. From this dicussion, it is evident that the analyst's creative use of self should be more systematically incorporated into psychoanalytic theory of technique.     

Domain Specificity and the Limits of Creativity Theory

A growing body of research evidence suggests that creativity is very domain‐specific and that domain‐general skills or traits contribute little to creative performance. The term “creativity” is a convenient term for collecting many interesting artifacts, processes, and people into a single category, and the term “creative thinking skills” may be a useful way to connect a diverse set of unrelated cognitive processes that operate on different content and in different domains. These concepts are misleading, however, because although they connect things that may seem similar to observers, they lack any underlying cognitive psychological validity. This has implications for the ways we understand and assess creativity, and also for how we should direct our efforts to develop creative‐thinking skills in diverse domains. Creativity training needs either to target the domains in which creativity enhancement is desired or to use a wide range of activities in diverse domains if the goal is more general improvement in many domains. Creativity assessment needs to focus on domain‐by‐domain assessment and to review findings based on allegedly domain‐general tests of creativity that may have misled researchers to unsupportable interpretations. Creativity theory needs to set more modest goals of domain‐by‐domain theory development and to recognize that theories that may seem domain‐general might better be understood as meta‐theoretical heuristics that do not actually describe domain‐general processes. These meta‐theories might in some cases help guide the search for domain‐based theories.     

Individual and Contextual Predictors of Creative Performance: The Mediating Role of Psychological Processes

Studies on creativity have identified critical individual and contextual variables that contribute to individuals' creative performance. However, the psychological mechanisms through which these factors influence creative performance have not yet been systematically investigated. This study explored potential psychological processes that mediate the effects of various individual and contextual variables on the creative performance of individuals. The results, based on longitudinal, multisource data, show that underlying psychological processes (creative self-efficacy and creativity intention) completely mediated the effect of individual (motivation, personality, ability) and contextual factors (social influences from leaders and peers) on creative performance. This study informs the literature of potential psychological mechanisms through which individual and contextual factors influence the creative performance of individuals.     

Transformational Leadership and Creative Problem‐Solving: The Mediating Role of Psychological Safety and Reflexivity

Previous research has pointed to the importance of transformational leadership in facilitating employees' creative outcomes. However, the mechanism by which transformational leadership cultivates employees' creative problem‐solving capacity is not well understood. Drawing on theories of leadership, information processing and creativity, we proposed and tested a model in which psychological safety and reflexivity mediate the effect of transformational leadership and creative problem‐solving capacity. The results of survey data collected at three points in time indicate that transformational leadership facilitates the development of employees' creative problem‐solving capacity by shaping a climate of psychological safety conducive to reflexivity processes. However, the findings also indicate that psychological safety is related both directly and indirectly, through reflexivity, to employees' creative problem‐solving capacity. This study sheds further light on the ways in which transformational leaders help to develop and cultivate employees' capacity for creative problem‐solving.     

Artists' vulnerability to psychopathology: Towards an integrative cognitive perspective

A relationship is commonly reported between high levels of artistic creativity and mental health problems (e.g., depression or psychosis), and it is now becoming clearer that the divergent cognitive style associated with creativity has commonalities with some of the processes involved in the development and maintenance of some psychological difficulties. Our aim was to investigate the nature of this cognitive style. More specifically, we considered the profile of probabilistic reasoning and associated problem solving abilities, as both of these mechanisms have been found to be integral to major forms of clinical dysfunction. We assessed levels of creative potential, mood, probabilistic reasoning, and problem solving abilities in 66 arts and 85 science undergraduate volunteers. As predicted, art students showed higher levels of creative potential and experienced lower levels of mood than their science peers. Differences in probabilistic reasoning were observed which are in keeping with the pattern reported to be present in those suffering with psychosis in that they tended to ‘jump to conclusions’. Art students also displayed both poorer problem solving abilities and self‐appraisal of their problem solving skills. Our results extend previous findings associated with the mediating role of cognitive processes in the relationship between creativity and some forms of psychopathology. Implications for the prevention and treatment of psychological difficulties in the creative are highlighted.     

Creative cognition, conceptual combination, and the creative writing of Stephen R. Donaldson

This article explores the reported use of conceptual combination in Stephen R. Donaldson's development of the idea for his award-winning fantasy series. The Chronicles of Thomas Covenant the Unbeliever. Donaldson's (1991) own account is used to illustrate the general principles of a creative cognition approach to understanding creativity as well as the more specific role of the basic process of conceptual combination. The links between Donaldson's and others' anecdotal accounts of creativity and laboratory investigations are assessed. The article concludes with an argument for a "convergence" approach in which information from anecdotal accounts and laboratory studies is combined to provide a more complete picture of creative functioning than either approach alone can offer.     

Dreams: Everyone’s Guide to Inner Space

This broad discussion of dreams and dreaming begins with a consideration of “outer” as opposed to “inner” psychological space—rational outer life in the world contrasted with the inner life of dreams, fantasies, and creativity. Dream theories and many examples of actual present-day dreams follow, often showing the dream’s relationship to the dreamer’s outer life.     

Creativity. Cognitive, personal, developmental, and social aspects

Although many psychologists have expressed an interest in the phenomenon of creativity, psychological research on this topic did not rapidly expand until after J. P. Guilford claimed, in his 1950 APA presidential address, that this topic deserved far more attention than it was then receiving. This article reviews the progress psychologists have made in understanding creativity since Guilford's call to arms. Research progress has taken place on 4 fronts: the cognitive processes involved in the creative act, the distinctive characteristics of the creative person, the development and manifestation of creativity across the individual life span, and the social environments most strongly associated with creative activity. Although some important questions remain unanswered, psychologists now know more than ever before about how individuals achieve this special and significant form of optimal human functioning.     

Social Psychiatry in Action—A Therapeutic Community by Harry A. Wilmer

Abstract

Obesity has proven difficult to treat. Many approaches neglect to address the deep-rooted underlying psychological issues. This paper describes a psychodynamically oriented approach to treating compulsive overeating as an addiction. Common to all addictions is a compulsion to consume a substance or engage in a behavior, a preoccupation with using behavior and rituals, and a lifestyle marked by an inability to manage the behavior and its harmful consequences. The approach represents a shift away from primarily medical models of intervention to integrated models focusing on the psychological underpinnings of obesity. Long-term psychodynamic group psychotherapy is recommended as a primary treatment.     

Motivated or Demotivated to Be Creative: The Role of Self‐Regulatory Focus in Transformational and Transactional Leadership Processes

Numerous studies have recognised the importance of transformational leadership style for encouraging employees’ creativity. Self‐regulation studies have highlighted the influence of a promotion focus on employees’ creative behaviours. Yet both leadership and self‐regulation theories have paid less attention to the role transactional leadership style and situational prevention regulatory focus may play in affecting employees’ creativity. In this article we present a theoretical model which examines transformational and transactional leadership styles and both promotion and prevention situational self‐regulatory focus (SRF). The model suggests that while transformational leadership promotes creativity, at least partially by enhancing follower's situational promotion SRF, transactional leadership style (transactional active) is aligned with followers’ prevention situational SRF, which is associated with leaders’ hindering of followers’ creativity. Findings from two studies, an experimental study (N = 189) and a field study (N = 343 employees and 75 managers), support this model, showing that the relationship between different types of leadership and creativity are more complex than previously regarded. The theoretical and practical implications are discussed.     

Sex, shame and the transcendent function: the function of fantasy in self development

This paper explores a developmental approach to the sense of self-agency and to its influence on conscious and unconscious fantasy. I suggest that the emerging sense of self-agency offers an over-arching framework for our understanding of the nature and function of fantasy. In this context, intrusive and compulsive sexual fantasies which a person experiences as perverted and shameful, can be seen to serve differing psychic purposes, depending on the level of self-agency which is predominant. The fantasies can serve both as warning signals of the dangers of relationship and as opportunities for the mind to reflect on its own processes. Differing psychodynamic theories of fantasy are examined in terms of the developmental sense of self-agency that they represent.     

Making a Difference: A Tribute to E. Paul Torrance From the United Kingdom

This article pays tribute to the life and work of Ellis Paul Torrance as an individual, psychologist, and educator. It is written from the perspective of a UK psychologist, teacher, and academic, and it traces sequentially the impact of Torrance's work on the author's research and teaching in the United Kingdom. This includes a large-scale investigation into the views of 1,028 UK teachers and lecturers on creativity, teaching, and learning (Fryer, 1989, 1996; Fryer & Collings 1991a, 1991b); the development of undergraduate and postgraduate courses in applied creativity; and the establishment of a registered charity, The Creativity Centre Educational Trust, of which Torrance was the first honorary member. This article does not attempt to chart Torrance's many achievements (there are others who can do this better). Instead, the emphasis is on his personal qualities, his skill as a psychologist and an educator, and his influence on the author's own work in this field. Attention is drawn to an observation he made shortly before his death about performance on tests of creativity and intelligence and their relation to academic achievement. Torrance's landmark contribution to the understanding and practice of creative education is highlighted, and it is argued that his work is not only relevant to those identified as highly creative but also to education as a whole.     

Turning Fantasies About Positive and Negative Futures into Self-Improvement Goals

Contrasting fantasies about the future with reflections on reality that impedes fantasy realization creates a tight link between expectations of success and forming commitments to self-improvement goals. This effect applies to both fantasies about a positive future contrasted with impeding negative reality as well as fantasies about a negative future contrasted with impeding positive reality. In Study 1, with 63 student participants, contrasting positive fantasies about benefiting from a vocational training with negative reflections on reality impeding such benefits led to expectancy-dependent willingness to invest in the training, more so than indulging in the positive future and than dwelling on the negative reality. In Study 2, with 158 high school students from former East Berlin, contrasting negative, xenophobic fantasies about suffering from the influx of immigrants with positive reflections on reality impeding such suffering led to expectancy-dependent tolerance and willingness to integrate the immigrants. Findings are discussed in terms of how mental contrasting facilitates self-improvement and personal development by making people form expectancy-dependent goal commitments to approach positively-perceived as well as negatively-perceived futures.     

From horror to ethical responsibility: Carl Gustav Jung and Stephen King encounter the dark half within us,between us and in the world

This paper explores the experience of horror. The term is usually understood collectively to refer to experiences of terrorism, racism and other conflicts; however, the paper explores the equal horror for the individual of facing deep and painful psychic contents and traumatic experiences. The paper explores the way that both C.G. Jung, through analysis of the psyche, and the author Stephen King, through his horror novels, have accepted and explored the experience of encountering ‘the dark half’ or ‘It’ that is the other within themselves, forming images and symbols capable of linking their personal experience to that of the collective. This encounter is transformed, as far as Jung is concerned by analytical psychology and for King by fiction, through an attitude of active imagination. This led both men to developing an ethical responsibility towards the images of the unconscious, as well as the personal and collective contents of human life. The paper depicts how encountering the ‘dark half’, through Jung and King can provide a Jungian analyst with a special attitude with which to deeply explore and ethically process the experience of horror in different fields, including therapeutic practice, analytical training and in the traumatic and conflictual facing of the other, with which, today as always, the world presents us.     

Goethes Studienkrise, Depression und seine Selbstbehandlungsstrategien

From a present day diagnostic viewpoint Goethe suffered from several episodes of depression beginning with his study crisis. In addition he wrote that he had a tendency towards dysthymic moods. In terms of modern psychotherapeutic procedures the various levels of Goethe’s self-therapy strategies are remarkable: acceptance of helpful bonding and relationships, correction of dysfunctional behavior and modification of pathogenic conceptions and beliefs as well as remembrance, enactment and mentalization of psychodynamic conflicts. Finally at an existential level his salutogenic strategies served to invoke a sence of coherence often threatened in his life. Anxieties, dysthymic moods, lack of self-esteem and existential conflicts were for him not only the reason and motive for realization of his extraordinary artistic potential. For modern psychotherapists and patients it is interesting that the acceptance of dysthymic moods and psychological conflicts and the transformation through relationships, cognitive behavior-oriented and psychodynamic strategies as well as an existential self-effective striving also lead to everyday creativity, i.e. coping with life.