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.     

The Developmental Trajectory from Amodal Perception to Empathy and Communication: The Role of Mirror Neurons in This Process

In a recent paper entitled “Mirror Neurons. Procedural Learning and the Positive New Experience” (Wolf et al., 2000), data were presented about a special type of neuron, the mirror neuron, originally located by Rizzolatti and his colleagues (1995). These neurons were discussed as they related to a particular developmental view of psychoanalysis, developmental systems self psychology (Shane, Shane, and Gales. 1997).

In this paper, we focus on how this mirror neuron system might contribute to the development of communicative abilities in humans. First we summarize the research findings about mirror neurons and how they apply to humans. We then attempt to demonstrate how the mirror neuron system might be involved in a developmental sequence hypothesized by Kohut (1984), Stern (1985), and others to begin in infancy. We postulate that this trajectory starts with the onset of “amodal perception” (Stern, 1985) and then proceeds to affect resonance, joint attention, and ultimately to symbolization of language. In this paper, we attempt to integrate these concepts with a formulation of empathy and demonstrate what might go awry in developmental disorders when the normative sequence of development described above does not take place.     

An empirical-phenomenological critique of the social construction of infancy

Developmental and clinical psychological findings on infancy over the past twenty years and more refute in striking ways both Piaget's and Lacan's negative characterizations of infants. Piaget's thesis is that the infant has an undifferentiated sense of self; Lacan's thesis is that the infant is no more than a fragmented piece of goods — a corps morcelé. Through an examination of recent and notable analyses of infancy by infant psychiatrist Daniel Stern, this paper highlights important features within the radically different accounts. In particular, it examines Stern's account of self-agency —a facet of the core self. In doing so, the paper brings to light corporeal matters of fact and shows :how recent developmental-clinical data on infants accord with facets of bodily life described by Husserl. The paper contrasts these corporeal matters of fact and facets of bodily life with Piaget's and Lacan's notion of an infant as incompetent and deficient. On the basis of its empirical-phenomenological findings, the paper underscores the need to recognize the richness of nonverbal life and to give movement and the tactile-kinesthetic body their conceptual due.     

On Traumatically Skewed Intersubjectivity

ABSTRACT

Beginning with his Interpersonal World of the Infant (1985), Daniel Stern suggested that the infant is driven from birth to connect intersubjectively with his caregivers. By the final three months of the first year of life, as the infant begins to use protodeclarative pointing and jointly attends to the outer world, he also begins to jointly attend with his caregiver to their respective intrapsychic worlds, the mental states of his caregiver and himself. Clinically, analysts observe at this crucial point of development of secondary intersubjectivity mothers who, more often than not, respond only selectively and often unpredictably to their infants. In many instances, this may be motivated out of a mother’s own need for regulation of emotion and arousal as we have shown in our empirical research. This article elaborates on clinical observations that, for the infant or young child to feel his traumatized mother’s affective presence, he must try to enter mother’s state of mind, while simultaneously, mother is seeking to self-regulate in the wake or the revival of trauma-associated memory traces, this at the expense of mutual regulation of emotion and arousal. We call this phenomenon traumatically skewed intersubjectivity. We find that children coconstruct with their traumatized mothers a new, shared traumatic experience by virtue of the toddler’s efforts to share an intersubjective experience with a mother who is acting in response to posttraumatic reexperiencing. The problem is that the infant or young child has no point of reference to decipher the traumatized mother’s social communication. And so, what is enacted leads to a new, shared traumatic event. Both the child’s anxiety and aggression can, in this setting, easily become dysregulated, further triggering mother’s anxiety and avoidance, leading thus to a vicious cycle that contributes to intergenerational transmission of trauma. Clinical examples and implications for psychoanalytically-oriented parent-infant psychotherapy will be discussed.     

Daniel Stern: Microanalysis and the Empirical Infant Research Foundations

ABSTRACT

Daniel Stern changed the face of psychoanalysis, as well as that of infant research. He was a brilliant, innovative, and playful thinker. Psychoanalysis particularly values his contributions on the relevance of infant research to adult clinical practice and theory, for which he is best known. But this work has its foundation in his early empirical infant research, which is less well known. I believe that a better appreciation of the original empirical basis of his work using microanalysis will deepen our appreciation of his later thinking.

In this article I return to the beginning of his work, using frame-by-frame microanalysis of film and, particularly, his first paper published in 1971. I sketch out some of the important findings and ideas emerging from this paper that continued to influence his thinking throughout his career. This research was conducted in the 1970s, the period in which I worked with him directly.     

Evaluation of early relational disturbance in high-risk populations: Borderline personality disorder features,maternal mental state,and observed interaction

Despite the longstanding theoretical association in the attachment literature between maternal trauma history and disturbances in the mother–infant interaction, few studies have investigated mechanisms of transmission of traumatogenic relational patterns in high-risk mother–infant dyads. This study investigated interrelationships among maternal trauma history, distorted maternal representations (DMRs, i.e. disturbed thoughts and feelings about the infant and self-as-parent), maternal mentalisation (i.e. capacity to conceive of self and other's intentions in terms of mental states including thoughts, feelings, and desires), and quality of interaction in a clinical sample of mothers with Borderline Personality Disorder (BPD) features and their infants (N = 61). Measures used included the Childhood Trauma Questionnaire, Parent Development Interview, Mother–Infant Relationship Scale, Borderline Symptom Checklist-23, and the Emotional Availability Scales. The results indicated BPD features mediated the relationship between maternal trauma history and DMRs predicting disturbance in interaction. In addition, analyses showed that maternal mentalisation had a buffering effect between DMRs and maternal non-hostility and yet the severity of BPD features moderated the relationship between mentalisation and DMRs. The findings suggest postpartum borderline pathology may adversely impact the experience of being a parent for women with a relational trauma history including deficits in mentalisation (i.e. hypermentalising) and disturbances in the mother–infant interaction. Implications for research and clinical practice are discussed.     

The Selfish Side of Self‐Control

Self‐control is a powerful tool that promotes goal pursuit by helping individuals curb personal desires, follow norms, and adopt rational thinking. In interdependent social contexts, the socially acceptable (i.e. normative) and rational approach to secure long‐term goals is prosocial behaviour. Consistent with that, much research associates self‐control with prosociality. The present research demonstrates that when norm salience is reduced (i.e. social relations are no longer interdependent), high self‐control leads to more selfish behaviour when it is economically rational. In three studies, participants were asked to allocate an endowment between themselves and another person (one‐round, zero‐sum version of the dictator game), facing a conflict between a socially normative and an economically rational approach. Across the studies, norm salience was manipulated [through manipulation of social context (private/public; Studies 1 and 2), measurement of social desirability (Studies 1 and 3), and measurement (Study 2) and manipulation (Study 3) of social power] such that some participants experienced low normative pressure. Findings showed that among individuals in a low normative pressure context, self‐control led to economically rational, yet selfish, behaviour. The findings highlight the role of self‐control in regulating behaviour so as to maximize situational adaptation. Copyright © 2014 European Association of Personality Psychology     

The self system

Recent findings of infant research suggest that the self may be regarded as a self-regulating system. The "identity self", that is, the totality of self representations, serves as the internal reference system around which all life-historical identity vacillations revolve.     

Infant observation: A range of questions and challenges for contemporary psychoanalysis1

The author attempts to integrate several perspectives within the field of infant observation that reflect the analyst's personal experience as a clinician, as a professor at the analytic institute and as a researcher in the field of psychoanalysis. Can infant observation contribute to analytic technique, theory and training? If so, what would be the nature of such contribution? To answer these questions, the author reviews the literature on infant observation from Freud to the present, highlighting Latin American contributions to this subject. She makes reference to the role of technological innovations, which have allowed videotaping, repeated observations, temporal segmentation and computerized programs, thus giving rise to microanalytic research. This discussion prompts the question about the contributions made by systematic research to clinical practice. To tackle this question, the author presents both a clinical vignette taken from her personal experience, and the current debate on this subject as it appears in the work of Daniel Stern and André Green. Finally, she presents some conclusions that are part of an ongoing debate in the psychoanalytic field.     

Being modest makes you feel bad: Effects of the modesty norm and mortality salience on self‐esteem in a collectivistic culture

Terror management research shows that existential terror motivates people to live up to social norms. According to terror management theory (TMT), people can achieve a sense of self‐worth through compliance with social norms. However, this has not yet been empirically tested. Modesty has long been known as an important social norm in Eastern cultures, such as China, Japan, and Korea. The current research examined whether conforming to the modesty norm in response to reminders of death concerns increases self‐esteem for Chinese. In Study 1, following the modesty norm (i.e., explicit self‐effacement) led to decreased implicit self‐esteem, however, this was only the case if mortality was salient. In Study 2, violating the modesty norm (i.e., explicit self‐enhancement) increased implicit self‐esteem – however – again, this was only the case when mortality was salient. These findings indicate that self‐esteem cannot be maintained through compliance with the modesty norm. Implications of this research for understanding the interplay between self‐esteem and social norms in terror management processes are discussed.     

FLEXING THE FRAME: CONTEMPLATING THE USE OF MULTIPLE PORTS OF ENTRY IN PARENT–INFANT PSYCHOTHERAPY

Multirelational interventions are well described in the psychoanalytic parent–infant literature. Daniel Stern (1995) originally suggested and described five “ports of entry” that may be employed to access the multiperson parent–infant clinical system. Other authors have elaborated and extended Stern's original list of ports of entry. The impact of using multiple ports of entry on the psychoanalytic frame, however, is largely neglected in the parent–infant psychotherapy literature. Danielle Quinodoz's (1992) four facets of the psychoanalytic setting are used to structure a discussion of how the multiplicities associated with parent–infant psychotherapy may impact the frame. The article argues strongly for a necessary flexing of the psychoanalytic frame to establish therapeutic alliances. A fifth facet, that of psychoanalytic mindfulness, is offered as a counterbalance to the risks associated with excessive flexing of the frame, particularly in relation to Quinodoz's fourth facet of “refraining from ‘doing.’” This article relies on case material to illustrate the issues under discussion. Further engagement and debate are invited.     

Nostalgia counteracts self‐discontinuity and restores self‐continuity

Nostalgia is a resource that functions, in part, as a response to self‐discontinuity and a source of self‐continuity. We tested and supported this regulatory role of nostalgia in the tradition of establishing a causal chain. In Study 1, we examined the naturalistic association between events precipitating self‐discontinuity and nostalgia. Self‐discontinuity, especially when stemming from negative life events, was associated with higher proneness to nostalgia. In Study 2, we experimentally induced negative self‐discontinuity (i.e. relatively disruptive), positive self‐discontinuity (i.e. relatively non‐disruptive) or self‐continuity (i.e. neutral non‐disruptiveness) and subsequently assessed state levels of nostalgia. Only negative self‐discontinuity evoked heightened nostalgia. In Study 3, we experimentally induced nostalgia (versus ordinary autobiographical recollection) and assessed self‐continuity. Nostalgia augmented self‐continuity. In Study 4, we experimentally induced nostalgia (versus ordinary autobiographical recollection versus positive autobiographical recollection) and assessed self‐continuity. Again, nostalgia augmented self‐continuity and did so above and beyond positive affect. Here, we ruled out demand characteristics as a rival hypothesis. Taken together, the findings clarify the role of nostalgia in the dynamic between self‐discontinuity and self‐continuity and elucidate the restorative properties of nostalgia for the self‐system. Copyright © 2014 John Wiley & Sons, Ltd.     

Using Language to Navigate the Infant Mind

ABSTRACT— How do infants represent objects, actions, and relations in events? In this review, we discuss an approach to studying this question that begins with linguistic theory—specifically, semantic structures in language. On the basis of recent research exploring infant cognition and prominent linguistic analyses, we examine whether infants' representations of motion events are articulated in terms of the components proposed by Talmy (1985 ; e.g., path, manner) and whether infants' event representations are defined in terms of broad semantic roles (agent, patient, source, goal) as proposed by Jackendoff (1990) and Dowty (1991) . We show how recent findings in infant cognition are consistent with the idea that the infant's representation of events is a close reflection of the linguistic categories. We especially highlight research that is explicitly guided by linguistic categories likely to have correlates in nonlinguistic cognition to illustrate the usefulness of using language to pose questions about early conceptual representations.     

Mother's choice: An exploration of extended self in infant clothing consumption

Consumption behaviour has long been linked to identity and notions of the self, where materialistic behaviours and attitudes are seen as determinants of self‐image. Previous literature has focused on mothers' consumption in general, but not specifically in regard to identity construction through purchasing for an infant. There is a dearth of academic research understanding mothers' consumption behaviour that links identity construction with infant clothing, where the child is part of the mothers' extended self and display of self‐identity. This qualitative, exploratory study provides insight into how mothers construct and express their identity through the extended self, contributing to consumer culture theory. The study examines the purchasing motivations of 14 mothers, utilizing depth interviews and projective association techniques. The findings indicate three predominant drivers underlying mothers' consumption, namely prioritizing the child, self‐representation and conspicuous branding. Copyright © 2014 John Wiley & Sons, Ltd.     

Stern on “Self”

ABSTRACT

Self is a notion of common-sense psychology that several schools of psychoanalysis have built into their theories. Stern explores and expands its meaning, tracing its development back to birth and even earlier, and outlining how the psychological development of the preverbal infant contributes to its evolution. In the process, Stern discusses two perspectives on preverbal infant psychology—that of the observational empiricist developmental psychologist, and that of the reconstructing psychoanalytic clinician working from the subjective experience of adult patients, and what each might contribute to the other. His thinking suggests the importance of nonverbal models of infant (and, eventually, adult) subjective experience.     

MATERNAL SELF‐REPORTED DEPRESSIVE SYMPTOMS AND MATERNAL CORTISOL LEVELS INTERACT TO PREDICT INFANT CORTISOL LEVELS

Three basic findings have emerged from research on maternal depressive symptoms and offspring hypothalamic–pituitary–adrenal functioning: (a) Mothers’ depressive symptoms are positively associated with their offsprings’ cortisol stress response, (b) numerous individual and interpersonal maternal characteristics moderate this association, and (c) maternal and infant cortisol levels are highly correlated. In combination, these findings have suggested that maternal cortisol levels may moderate the relation between maternal depressive symptoms and infant cortisol responsivity; the current study assessed this hypothesis. Participants were 297 mother–infant dyads who were recruited from the community. Maternal depressive symptoms were assessed via self‐report. Dyads participated in two differentially stressful infant challenges when infants were 16 and 17 months old. Mother and infant salivary cortisol was collected before and after challenges. Results indicate that maternal cortisol levels moderated associations between maternal depressive symptoms and infant cortisol levels across both challenges. Infants showed higher cortisol levels if their mothers had both higher depressive symptoms and higher cortisol levels, as compared to infants of mothers with higher depressive symptoms and lower cortisol, and to infants of mothers with lower depressive symptoms and either higher or lower cortisol levels. We discuss findings in relation to environmental and biological factors that may contribute to the intergenerational transmission of depressive symptoms.     

Self‐esteem: a behavioural genetic perspective

Self‐esteem, the affective or evaluative appraisal of one's self, is linked with adaptive personality functioning: high self‐esteem is associated with psychological health benefits (e.g. subjective well‐being, absence of depression and anxiety), effective coping with illness, and satisfactory social relationships. Although several pathways have been hypothesized to effect within‐family transmission of self‐esteem (e.g. parenting style, family relationship patterns), we focus in this article on genetic influences. Genetic studies on both global and domain‐specific self‐esteem and on both level and stability of self‐esteem converge in showing that (i) genetic influences on self‐esteem are substantial, (ii) shared environmental influences are minimal, and (iii) non‐shared environmental influences explain the largest amount of variance in self‐esteem. We advocate that understanding of current issues in self‐esteem research will be enriched by including behavioural genetic approaches. Copyright © 2002 John Wiley & Sons, Ltd.     

Self,social identity and psychological well-being

Self and social identity are key elements in the understanding of a person’s strivings for health and well-being. This review (i) examines the concepts of self, social identity, and psychological well-being; (ii) integrates empirical evidence that relates various self-aspects or social identities to psychological well-being; (iii) analyzes within a stress and coping framework the well-being consequences of socially devalued self or threatened identities, perceived discriminations, challenges of acculturation and identity management; and (iv) delineates the role of self, social identity and related psycho-social variables as moderators and mediators in pathways leading to psychological well-being. Besides listing some methodological issues and empirical deficits, major concerns for future research are also identified. An explicit self and social identity perspective of this research synthesis brings personal and social aspects together, and this interface offers exciting opportunities for research advancement.