John Bowlby and Margaret s. Mahler: their lives and theories

Traumatic aspects of the lives of John Bowlby and Margaret Mahler can be seen to inform their intellectual careers, a perspective that suggests that attachment theory and separation-individuation theory are far more consonant with one another than otherwise. Articulating the domains of convergence between the two theories reveals the essential complementarity of the special strengths of each. Both theories were attempts to understand the role of experience in the development of mental representations. Mahler paid close clinical attention to inner mental states and their evolution, while Bowlby searched for behavioral correlates that could lend themselves to empirical observation and inferences about internal representations.     

Attachment theory and psychoanalysis Some remarks from an epistemological and from a Freudian viewpoint1

The author examines Bowlby's attachment theory and more recent versions of it from an epistemological viewpoint and subjects it to questioning on whether they are in line with central concepts of Freudian psychoanalysis. He argues that Bowlby's basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientifi c standards, and that psychoanalytic issues such as the dynamic unconscious, internal confl icts, interaction of drive wishes and the role of defence in establishing substitutive formations are either ignored or not treated in suffi cient depth. In the light of this, Fonagy's assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and ought nowadays to be seen as outdated is reversed: psychoanalytic criticism can only be regarded as outdated if either basic tenets of Freudian psychoanalysis, or attachment theory or both are misunderstood.     

An Exploration of Separation-Individuation Themes in the Borderline Personality Disorder

In an attempt to test hypotheses derived from Mahler's theory of borderline development, Rorschach protocols of borderline and schizophrenic patients were studied for the presence of themes related to the separation-individuation process. A specially constructed Separation-individuation Theme Scale was used with a 96% reliability of agreement between two raters. The borderline group attained more separation-individuation themes than the schizophrenic group, whereas the schizophrenics showed more preseparation-individuation themes. The results were interpreted as a validation of Mahler's theory. In addition, the results tended to confirm a developmental model for the understanding of psychopathology.     

Separation-individuation and cognition

Through direct observation of infants and mothers in an "experimental" nursery, Mahler and her associates have accumulated data which when analyzed point to distinct phases (stages) during the long process of the development of the concepts of self and object. These phases, autism, symbiosis, and separation-individuation (itself subdivided into four subphases, differentiation, practicing, rapprochement, and consolidation of individuation) correspond well with the stages described by Piaget as constituting the period of cognitive growth described as sensorimotor intelligence. The intercorrelation of the phasic development along these two separate lines (objectal-affective and cognitive), expectable as it may be, is of considerable interest as it underlines the intrinsic strength of the psychoanalytic concept of the object. Furthermore, this intercorrelation enhances and enlarges our understanding of the process of consolidation of self and object during the first years of life.     

The rooting of the mind in the body: new links between attachment theory and psychoanalytic thought

The relationship between psychoanalysis and attachment theory is complex indeed. A brief review of the psychoanalytic literature as it concerns attachment theory and research, and of the attachment literature as it pertains to psychoanalytic ideas, demonstrates an increasing interest in attachment theory within psychoanalysis. Some of the difficulties that attachment theory faces in relation to psychoanalytic ideas are traced to its links to the now dated cognitive science of the 1960s and 1970s. Today, however, a second-generation cognitive neuroscience seeks neurobiologically plausible accounts in which links with brain and body are seen as shaping mind and consciousness, which increasingly are seen as "embodied", as emerging from or serving the needs of a physical being located in a specific time, place, and social context. This idea has also been at the core of much psychoanalytic thinking, which has historically affirmed the rootedness of symbolic thought in sensory, emotional, and enacted experience with objects. Now neurobiological advances supporting the concept of embodied cognition offer an opportunity to forge powerful links between the hitherto separate domains of attachment theory and psychoanalysis. Speculations about the nature of language are presented that emphasize the origin of internal working models (and of representations in general) in early sensorimotor and emotional experiences with a caregiver. It is argued that language and symbolic thought may be phylogenetically and ontogenetically embodied, built on a foundation of gestures and actions, and are thus profoundly influenced by the experience of early physical interaction with the primary object. Finally, the clinical and research implications of these ideas are discussed.     

Bindungstheorie und Psychoanalyse

Bowlby’s attachment theory and more recent versions of it are examined from an epistemological viewpoint and subjected to questioning on whether they are in line with central psychoanalytic concepts. It is argued that Bowlby’s basic tenets regarding attachment theory, which later attachment theorists never seriously questioned, do not conform to scientific standards, and that psychoanalytic issues such as the dynamic unconscious, internal conflicts, the interaction between drive wishes and defence in establishing substitutive formations are either ignored or not treated in sufficient depth. In the light of this, the assertion that psychoanalytic criticism of attachment theory arose from mutual misunderstandings and is outdated nowadays stands the matter on its head: psychoanalytic criticism can only be regarded as outdated if either psychoanalysis, or attachment theory or both are misunderstood.     

Separation and individuation issues in psychosocial rehabilitation.

This paper utilizes the theoretical formulations of Margaret Mahler and her colleagues on separation and individuation in order to understand how to plan psycho-rehabilitation programs for emotionally disturbed adolescents and young adults. The separation-individuation process and anxiety issues are discussed and analyzed in terms of both theory and practical application.     

The development and organization of attachment: implications for psychoanalysis

As a result of John Bowlby's breach with the British Psychoanalytic Society nearly forty years ago, his work, specifically the development of attachment theory, was until recently largely expunged from the psychoanalytic record. However, thanks to developments in both psychoanalytic and attachment theories, a rapprochement has been forged, and a number of scholars are now seeking to integrate these two complementary perspectives. In this paper, the fundamental premises of attachment theory are discussed in light of their relation to psychoanalytic theory. In addition, their application to the clinical situation in both adult and child treatment is discussed.     

Attachment theory within clinical supervision: application of the conceptual to the empirical

Attachment theory, which has demonstrated application in caregiver-child, romantic, and psychotherapeutic relationships, also appears to be supervision relevant. But bad blood between attachment theory and psychoanalysis may well have hampered considering the relevance of attachment theory for psychoanalytic supervision. This project sought to investigate the application of attachment theory to the supervision situation, with the potential implications of our findings for psychoanalytic supervision being considered. Attachment styles, leader–follower dynamics, and attachment-based expectations were explored as predictors of supervisor-trainee working alliance using a prospective, longitudinal study design. Findings revealed the importance of measuring supervision-specific attachment, the particularly problematic nature of supervisee avoidant attachment, and the potential contribution of a leader–follower framework for understanding supervisory attachment. These attachment concepts may well be useful in, and additive for, psychoanalytic supervision practice.     

Separation-individuation phenomena in adulthood: general concepts and the fifth individuation

The elaboration of separation-individuation theory in the years beyond childhood has been a psychoanalytic focus for several decades. In this paper, the nature of separation-individuation phenomena in adulthood and the terminology and controversy surrounding the use of the terms third, fourth, and fifth individuation are considered first; a detailed elaboration of the concept of the fifth individuation in late adulthood follows.     

Clinical theory at the border(s): Emerging and unintended crossings in the development of clinical theory

The author provides some scaffolding for thinking about emerging and unintended integrative developments in clinical theory. The emergent theory to which the author refers works at a different level of theoretical discourse than explicit attempts at comparative translation of psychoanalytic concepts or theories. In contrast, most of the theory that is explored in this paper involves clinical discourse aimed at solving important common clinical problems. The work of a group of authors (Jay Greenberg, John Steiner, Anton Kris, Michael Feldman and Charles Spezzano) is described as simultaneously embedded within a particular orientation while demonstrating a kind of unwitting reach to a broad swathe of analysts. Distinctions are made between this kind of linking of clinical theory versus self‐consciously syncretic and integrative approaches to theory development. The author also discusses the educational implications of this emergent theory for teaching and learning during psychoanalytic training.     

One-person and two-person conceptions of attachment and their implications for psychoanalytic thought

There has been increasing interest among analysts in the possibilities of enriching psychoanalytic thought through fuller incorporation of attachment theory and research. This paper offers a clinical illustration of the ways in which attention to an attachment perspective can lead to novel and useful ways of addressing the patient’s issues. It also presents a number of cautions that it is necessary to be alert to if attachment thinking is to achieve its full potential in advancing psychoanalytic thought and practice. Conceptions of attachment and approaches to its study and clinical use actually vary quite substantially. Some are more one-person, static, and categorical. Others are more two-person, dynamic, and focused on the process whereby attachment patterns develop and are maintained over time. This paper explores the distinction between these two versions of attachment theory and research with two aims in mind – first, to refine our understanding of the potential role that attachment thinking can play in advancing the psychoanalytic paradigm; second, to utilize the insights achieved through examining the attachment paradigm to consider some broader issues in the construction of psychoanalytic theory more generally and its relational variant in particular.     

Sex-role identity and separation-individuation pathology

The Mahlerian theory of childhood psychological development suggests that the same sex parenting of girls in the mother-child dyad predisposes women to experience specific difficulties in the separation-individuation (S-I) process (Mahler, Pine & Bergman, 1975). Pathological states in adulthood have been attributed to these S-I disturbances (Pine 1979; Kernberg 1980). However, this theory has never been empirically tested. In this study 53 subjects were assessed for adult manifestation of disturbance in the separation-individuation process using a self-report questionnaire (Separation-Individuation Inventory: Christenson & Wilson, 1985), In contrast to previous theoretical work, women showed significantly lower levels of disturbance in the separation-individuation process than did men. Assessment of sex-role identity (Bem Sex Role Inventory: Bem, 1981) showed no significant difference between overall sex-role identity of the male and female subjects. Individuals lacking any clear sex-role identity showed significantly higher levels of disturbance in the separation-individuation process than those with feminine, masculine or androgynous identity. These findings demonstrate the importance of considering sex-role identity as well as biological sex when describing some psychological characteristics and also demonstrate the importance of any sex-role acquisition, whether male or female, for psychological well-being.     

Reapproaching Mahler: new perspectives on normal autism, symbiosis, splitting and libidinal object constancy from cognitive developmental theory

Margaret Mahler's seminal work on the psychological birth of the infant has generated more critical discussion than most other psychoanalytic theories of early development. But while the empirically, theoretically, and methodologically based criticisms of Mahler's theory are generally justified, her critics fail at times to consider some of the intriguing and creative insights that her theoretical formulations tried to capture. This paper attempts to reformulate these insights using the new conceptual tools that current cognitive developmental theory provides. Mahler's stage of normal autism is reconsidered in the light of contingency detection theory as an initial phase of primary preoccupation with self-generated perfectly response-contingent stimulation. Her concept of normal symbiosis is recast with the help of attachment theory's views on homeostatic regulation and the social biofeedback model of affect-reflective mirroring interactions with parents. Finally, her ideas about the development of splitting and libidinal object constancy are reconsidered according to recent theories of early representational development and mentalization.     

The Quest for a Unified Psychoanalytic Theory: A Retreat from Uncertainty

There has been a historical shift in psychoanalysis from an earlier time of certainty to our present state of uncertainty with the coexistence of multiple theories competing for our attention. We realize retrospectively how entrenched groups ruled our institutions by maintaining faith in their authority as the keepers of “pure” psychoanalysis. Despite struggles between competing ideologies, there has been progress in integrating clinical theories. As no psychoanalytic theory or technique has been proved superior, we advocate an inclusive approach with all psychoanalysts keeping an open mind about the value of competing theories. This integration of disparate theories has led to a resurgence of interest in psychoanalytic training. Examples are given of some of the difficulties encountered when competing ideas are introduced in psychoanalytic groups.     

Book reviews

Wilfred Bion is regarded as a psychoanalytic purist and his austere portrayal of the analytic aim and attitude is often considered to make impossible demands on patient and analyst alike. Not surprisingly, the applicability of Bion's theory and recommended practice to once-weekly psychotherapeutic work is often questioned. Bion is thus ambivalently regarded by psychotherapists as the embodiment of an analytic ideal, whose developmental theories are important, but whose practical utility is doubted, especially in the context of the typical therapeutic setting. This paper seeks to challenge these assumptions by presenting the once-weekly therapy of a woman with attenuated mentalizing capacity and a tendency to destructive acting out. The therapy was guided by the application of central concepts, models and ‘technical’ principles emerging from my understanding of Bion's work. The aim of the paper is to demonstrate that Bion's utility is not confined to formal psychoanalytic settings and that his work may be usefully applied in more modest psychotherapy contexts.     

Cognitive ego psychology and the psychotherapy of learning disorders

The single most common referral problem in middle childhood and adolescence is academic underachievement and learning failure. Yet, the term “learning disorder” lacks specificity as a diagnostic entity and offers no guidelines for psychotherapy. An appreciation of the developmental processes by which the undifferentiated, unstructured, self-less and objectless newborn becomes a more fully developed, self-sufficient individual, capable of adaptive functioning and formal academic learning is encompassed in contemporary psychoanalytic conceptions of the separation-individuation process. This theory provides an organizing, theoretical base for diagnosis and treatment of learning disorders. Based on these conceptions, we discuss therapeutic techniques which are appropriate to the level of developmental arrest at each of the phases of the separation-individuation process.     

A thought on the nature of psychoanalytic theory

In this paper I suggest that much of recent experiment in analytic theory, even widely diverse approaches, has a common denominator the problem of the conceptual vacuum created by the shift away from a central creative position of the idea of psychic mechanisms. I try to illustrate, by comparing theories of Bion and George Klein, that this movement seems to point in the direction of considering now what is uniquely psychoanalytic about our theories. I content that what is unique about psychoanalytic theories is that they are involved in the experiential core-function of the applied science by becoming internalized and used symbolically to aid the analyst inwardly to endure persecutory anxiety and loss of the sense of objective reality, and so maintain the analytic position.