On the devalued self and implications for treatment

A survey of the self theories of several illustrious clinicians suggests that—despite its increasing interest for contemporary dynamic psychotherapists —a holistic self psychology has little practical utility. Rather, it is a variant of structural theory, involving a component of a nontraditional structure of the self, that appears to be of the most practical use. Therapy in this mode combines both steadfast positive regard and planful functioning of the therapist as a beneficial model or ideal image.     

Reconstruction of the self: Life-span-oriented group psychotherapy

Abstract

Traumatic events affect the individual at many levels of functioning. They can have profound and lingering consequences for self-identity. Affective, cognitive, and behavioral components of the functioning of the self are experienced as disjointed, producing at times a sense of a lack of control of the self and a feeling of schism between the pre- and posttrauma identities. Therapeutic interventions drawing on constructivist theory and integrative techniques are useful in helping the traumatized individual regain self-understanding and mastery. The design and operation of a life-span-oriented group developed for work with individuals who have posttraumatic stress disorder are described. Guidelines for the structure and process of the group are provided, as are principles for technique selection and use within a structured, self-reflective group format.     

The return of the trauma theory: Implications for hermeneutic psychotherapy

Abstract

Myth is a narrative that can preserve or alter social and political structures by its authoritative utterance under appropriate conditions. This kind of narrative shares the same normative rules as perlocutionary or performative speech acts. A performative is a category of speech act which, by its very pronouncement, can change a person's role, status or identity, or an object's significance or meaning. Speech acts have the performative power to change behavior if they are institutionalized and taken seriously by a community.     

The place of self psychology in group psychotherapy: a status report.

This article reviews the growing contribution of self psychology to group psychotherapy. The basic self-psychological concepts as they are applied to group dynamics and the treatment process are explored. Transference, countertransference, and self-restitutive patterns are illustrated in a clinical vignette that includes a "difficult" patient's impact upon the interactional and group-as-a-whole processes. Several directions for future investigation are described.     

The self in transformation: Dialectical processes in long-term psychotherapy

A number of phases are notable during the process of integration of the self through psychotherapy. Each of these phases encompasses a particular ontology in relation to the dynamic self. The underlying process of change, moreover, may be conceived of as dialectical in nature with each phase having a unique thesis and antithesis. A clinical case is presented to illustrate these ideas for the therapist.     

Internal conflict,language, and metaphor: Implications for psychotherapy

The term conflict has only metaphorical validity when applied to internal dynamics, because an organism can never actually be at war with itself. Drawing upon Maturana's theory of living systems, we argue that the concept of conflict has been taken too literally by therapists and clients. Instead of eliminating conflict, we urge therapists to focus on the interpersonal implications of language habits and to explore with clients the options for more effective action in the social community.The authors would like to express their appreciation to G. Craig Caputo, Elsa R. Efran, Joseph Fiorito, Charles E. Gallagher, Christopher K. Germer, Richard J. Leffel, M. Penny Levin, Alan J. Lipman, Michael D. Lukens, Robert J. Lukens, and Richard Sadowsky, each of whom read earlier drafts and contributed valuable suggestions.     

The phases of renewal: Steps to integration of the self in psychotherapy

This is a study of the psychology of self-renewal. The myth of Psyche is examined since it is among the finest rebirth stories antiquity has left us and can be read as representative of the renewal process in general. The story as such, points to a number of psychological states of being necessary for the self to pass through if change is to occur. Renewal can be understood as a series of ontological situations, and these can be structurally considered in terms of phases. This in turn, provides a general theoretical framework for a psychological analysis of self-renewal. The phases of renewal, derived from the Latin, are:immanence, obstruence, descendence, experience, ascendence, emergence andtranscendence. The case of Lee is used to illustrate the process of integration of self in psychotherapy.     

The interacting self: Its developmental and phenomenological aspects in psychotherapy

Though there is increasing knowledge today about self development and self structure, there still remains a lack of clarity about the applications of these to practice. The aim of this article is to present a conceptual refinement of existing self theory in order to make it more accessible to practice. We will clarify the phenomenon of a divided self with the help of developmental and phenomenological ideas. We will then present and illustrate a therapeutic focus which encompasses not only client-therapist interaction, but also self interaction.     

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.     

Alexithymia and the reflexive self: Implications of congruence theory for treatment of the emotionally impaired

Abstract

This paper attempts to articulate a so far neglected dimension of congruence theory, the reflexive self to self transaction. My claim is that self reflexivity is a tacit but fundamental assumption behind Carl Rogers’ formulations of the relationship—what he refers to as “congruence” or “incongruence"—between experience and its symbolization in awareness. Gendlin's elaboration of the congruence theory in terms of “experiencing” and “inward sensing” has made clear and explicit the important role self reflexivity plays in the relationship between symbols and “unformed emotional experience.” A case vignette of Focusing is used to demonstrate the relevance of self reflexivity to our understanding of verbal expression of emotions, and by extension, to our understanding and treatment of alexithymia and related conditions of emotional impairments.     

The battle within the self,II: An existential approach to psychotherapy with personality disorders

Individuals who suffer from personality disorders are dominated by an internalized self-attacking mechanism which is labeled here as the enemy. This force is the incorporated voice of the parent incessantly operating and producing the psychological pain which very much characterizes the patient's existence. By anthropomorphizing this destructive aspect of the personality structure, the therapist is better able to become an ally with the healthy parts of the patient against this critical internal enemy. As patients more fully comprehend the wide extent of the ongoing battle within the self, they begin to develop the necessary resources to effect significant behavioral changes.