Helping patients by analyzing self-criticism

This paper is addressed to patients' need for help with punitive self-critical attitudes. Such help has not always been sufficiently provided by psychoanalysts, owing to an unrecognized failure of neutrality. Historically, a gradual overemphasis on the concept of an unconscious sense of guilt has acted as a barrier to the appreciation of shame. An alternative concept, punitive unconscious self-criticism, which stands in contrast to constructive self-criticism and is common to the painful affects of guilt, shame, humiliation, and depression, can facilitate helpful analytic treatment. Heinz Kohut's contributions are examined. His analytic stance is differentiated from his theories of development. In the former, characterized by an affirmative attitude, he takes a position of functional neutrality toward shame and pays consistent though unstated attention to the effects of punitive unconscious self-criticism. The affirmative attitude can be employed without adoption of Kohut's self psychology, i.e., without abandoning the basic psychoanalytic approach to mental conflict and development. The concept of punitive unconscious self-criticism and the concept of divergent conflict, provide sufficient explanatory power. Clinical examples are used to illustrate these ideas.     

Introduction

This introduction presents the extension of Freud's instinct theory via Kohut's theory of narcissism and the self to an application of the combined theories to the political group violence racking the world scene.     

Aggression,sex role measures,and Kohut's psychology of the self

Recent controversies concerning the relationship between aggression and sex role development were evaluated in light of Heinz Kohut's psychoanalytic psychology of the self. Masculinity roughly corresponded to grandiose elements of Kohut's bipolar self while femininity was linked to its idealizing sector. As predicted, self-reported aggressiveness reflected an immature grandiosity; and associations of assertiveness with both masculine and grandiose personality styles supported Kohut's claim that adjustment can evolve out of more aggressive forms of self-functioning. Socially desirable forms of femininity had the advantage of being incompatible with aggressiveness, but they also failed to promote assertiveness. Androgynous, masculine, feminine, and undifferentiated sex roles displayed largely predictable parallels with synthetic, internal, external, and archaic narcissistic styles. As in previous research, therefore, Kohut's theory proved useful in examining the mental health implications of traditional sex roles.Data reported in this project were included in the master's thesis of the first author.     

Self Psychology and End of Life Pastoral Care

This paper explores salient concepts of Heinz Kohut's self psychology in relation to pastoral caregiving with dying persons and family members. Examination of a principle case study and other relevant clinical examples illumines the discussion. It is argued that the principles of Kohut's psychology can critically inform pastoral theological reflection. Strengths and limitations are considered throughout the analysis, and gestures are made toward beneficial end of life pastoral theological practices for clients and practitioners.     

Clinical identification of compensatory structures on projective tests: a self psychological approach

In this article I discuss compensatory structure, a concept from Kohut's (1971, 1977) psychology of the self that is not as familiar as Kohut's other views about the self. Compensatory structures are attempts to repair selfobject failure, usually by strengthening idealization or twinship in the face of mirroring deficits. Compensatory structures, particularly their early indications, can be detected on projective tests for identifying adaptive resources and treatment potential. The clinical identification of compensatory structures on test findings is described using Rorschach and Thematic Apperception Test (Murray, 1943) content. Particular attention is devoted to the 2-part process of demonstrating first, an injury to the self, and second, how attempts to recover from such injuries can be detected on projective tests. Clinical examples are provided, and the differentiation between compensatory structures and defenses and sublimation is discussed.     

Kohut's method of interpretation: a critique

To cope with the obscure, complexly overdetermined, and unstable nature of unconscious meanings, Freud developed a pluralistic methodology that employs a wide variety of interpretive strategies and procedures. Conversely, Kohut proposed a radically abbreviated interpretive approach based on the single, subjective method of empathy. This report reevaluates Kohut's monistic interpretive methodology: (1) The principal features of Kohut's interpretive method are reviewed and evaluated. (2) Case material and interpretations from Kohut's final book are used to compare his unidimensional approach with the pluralistic methodology of traditional interpretation. (3) The epistemologic liabilities of Kohut's interpretive method are delineated and discussed. (4) Methodologically more appropriate strategies for improving clinical interpretation are presented.     

Relationality in Kohut's psychology of the self

In this essay, I will posit that Kohut's psychology of the self portrays relationality and that its relationality can be categorized into the explicit aspects. I will also put forth the six aspects of relationality contained in Kohut's psychology of the self as relational, dynamic, wholistic, unilateral, mutual, and doxological and they can be summarized as following: (1) Relational: Narcissism is not self-love but is a particular kind of object relationship; (2) Dynamic: The most central self is dynamic or agentic and not defined in substantival attributes; (3) Wholistic: The whole of the self is important; (4) Unilateral: In order for one's self to develop, one is in need of and at the receptive end of another's empathy; (5) Mutual: Others’ empathy is needed in maintaining the health of the developed selves; and (6) Doxological: Joy and thanksgiving are natural expression of developed selves.     

Kernberg and Kohut: a test of competing psychoanalytic models of narcissism

Over the past ten years the problem of validating psychoanalytic theory has received increasing attention from psychoanalysts and nonpsychoanalysts alike. Yet, very little research responsive to this question of validation has been produced. During this same period one of the most fertile controversies in contemporary psychoanalysis reached its peak--the Kernberg-Kohut debate concerning the nature of narcissism. However, for the lack of a validation strategy, this debate has become increasingly sterile, degenerating to a theoretical stalemate at this point. This paper addresses the problem of validation by using causal modeling as a mechanism for empirically testing many of the claims of these competing models of narcissism. Although the data provide empirical support for both theories, strategic comparisons tentatively suggest that Kohut's self psychology is more parsimoniously explained as a special case of Kernberg's ego psychology-object relations theory.     

Loving Thyself: A Kohutian Interpretation of a “Limited” Mature Narcissism in Evangelical Megachurches

Evangelical megachurches across the United States provide a subculture for core and committed members who immerse themselves in these communities of faith. This article argues that American evangelical megachurches fail to mitigate "the narcissism epidemic" in the dominant secular culture. Using object relations theory, I discuss splitting as a psychological foundation for narcissism, and I employ Heinz Kohut's self-psychology to analyze idealized, mirroring, and twinning self-objects in evangelical megachurches. Finally, given Kohut's categories for a mature narcissism, I find that Evangelicals achieve creativity, empathy, transience, humor, and wisdom, in part, but their ideological frameworks, organizational characteristics, and beliefs challenge a transformation to mature narcissism.     

The cultural psychology of Kohut's self psychology

Contrary to criticism, Heinz Kohut's self psychology does not support an absorption into self nor a morally neutral response to society. Kohut's psychology of the self and narcissism aims toward an analysis of contemporary Western culture that will restore it. In the process of assisting individuals and culture to recover from the vicissitudes of narcissism, Kohut has introduced a new type of cultural psychology, a culture of empathy.     

Fragmentation and Narcissism

The paper focuses on the articulation of two areas of theory: that of development of the self through fragmentation and differentiation and that of narcissism in early psychological development, and its pathology later in life. Jungian ideas concerning the self and individuation (including those developed by Fordham) are linked with psychoanalytic ideas, notably Kohut's, and related to the concepts of narcissism and ego-development. In this the focus is on a revaluation of the negative overtones of 'fragmentation' and 'narcissism' and an indication of their place in the process of individuation. It is pointed out that a varying emphasis in the analyst on what are called the biological and ethological aspects of these theories will have important implications for the treatment of patients. The theoretical position is illustrated by a lengthy clinical example involving a case of early injury to the self which suggests the pathology of narcissistic character disorder. But the case also illustrates the contribution to development of fragmentation and narcissism, which are revalued here as the 'part-for-the-whole' and as one of the 'motors' of individuation. Working within a perspective that prioritizes the importance of the drive towards relationship, it is recommended that the analyst learns to respect and value phenomenologically the contribution of fragmentation and narcissism to normal development, if true healing is to occur.     

Rethinking Selfobject and Self: Implications for Understanding and Studying Religious Matters

Research having to do with psychoanalysis and religion customarily explains a religious experience, expression, or event in terms of psychoanalytic methods and concepts. In marked contrast, this essay pursues a different objective by way of an alternative route, revealing how a theory and model of self opens up to and implies a way of understanding and studying religious matters. It accomplishes this objective through a series of steps: reflecting on how theories and models function and change; illustrating a particular instance of theory change—examining the emergence of Heinz Kohut's self-selfobject model in relation to the subject-object model embedded in classical psychoanalytic theorizing; discussing the warrant for and outlining the contours of a revised way of reading the self-selfobject model; identifying implications of this model, now re-read, for understanding and studying religious matters.     

A fresh look at perverse behaviour.

A review of psychoanalytic thinking on perversions is offered and brought up to date with an outline of Kohut's concept of perversions representing sexualization of narcissistic configurations. An emphasis is made on the sexualization of the affects to underscore the structural defect in perverse behaviour. Broad constructions directed to the disavowal of feelings are considered most meaningful in analytic treatment of individuals suffering from sexual perversions.     

Social psychological implications of the narcissism theory]

The author recapitulates various conceptions of narcissism that are in psychoanalytic discussion and attempts to set up a new theoretical frame for the socio-psychological topoi "authoritarian character" and "narcissistic personality" by means of Kohut's conceptions of the "grandiose self" and the "idealized parental imago". Based on M. Mahler's observations, Kernberg's critique of Kohut is rejected.     

Narcissism, hypochondria and the problem of alternative theories

This paper is an experiment in conceptual integration and clinical theory testing. Its argument is that narcissism and sexual object love develop from a single source and continue to interact during childhood development and adult life (Freud) and that drives in their oedipal and other formations are not merely disintegration products of narcissism (Kohut). Material from two analyses, supplemented by material from two others, indicate that narcissistic injury was a significant factor in the neuroses of these patients but that aggressive and libidinal conflicts were also decisive such that their hypochondriac symptoms were compositions of their interacting causality. As a result these neuroses are negative instances of Kohut's theory of narcissism. The hypochondriac symptoms as they emerged could not have had the structure and dynamics they actually had nor could the analytic process these patients underwent have achieved the far-reaching and durable amelioration of these symptoms that occurred. On the positive side, these analyses are but two inductive instances that support Freud's theory. However, one major difficulty of the faddishness of psychoanalytic theorizing is that much of worth is lost from general theories that turn out not to be supportable. The clinical material from these two cases which disprove basic elements of self-psychology metapsychology also require adjustments to classical theory that integrate the contributions of self-psychology to psychoanalytic clinical theory.     

RITUAL AND SELF-ESTEEM IN VICTOR TURNER AND HEINZ KOHUT

Abstract. This paper uses Victor Turner's recent discussion of liminal and liminoid forms of communitas to criticize psychoanalytic praxis, both theory and therapy. In so doing it argues that Turner's distinction can be sharpened by assimilating it to the Marxist concept of commoditization. Heinz Kohut's analysis of narcissism can be supplemented by considering how self-esteem, like other forms of behavior, is ritualized, particularly in the mother-child matrix. We can account for the recent increase in narcissistic disorders, in part, by noting how liminal forms of communitas have given way to liminoid forms. Liminoid forms of communitas, like that established in the analytic relationship, secure self-esteem less adequately than do liminal forms.     

The will to be known: Toward a pastoral anthropology of the self

Explores the concept of the will to be known as a metaphor for the self as process in relationship. Dietrich Bonhoeffer's theological anthropology and Heinz Kohut's self psychology provide the background for a multilingual pastoral anthropology that transcends a narrow focus upon the self as an autonomous unit of meaning. The discussions attends to four dimensions of the will to be known and to dynamics of shame within the emergence and existence of the relational self.     

Trinity,Love, and Pastoral Mirroring

This paper focuses on the positive mirroring (admiration, acceptance, and approval) that Heinz Kohut posits as the primary healing agency in work with clients with narcissistic personality disorder. Donald Capps has demonstrated the pastoral significance of Kohut's theory. Capps' work is extended through an analysis of the role love plays in mirroring. It is suggested that mirror love has agapic, erotic, and philial elements. The loving action of the counselor is viewed as an image of the love of the triune God.     

Androgyny as synthetic narcissism: Sex role measures and Kohut's psychology of the self

In Kohut's analysis of narcissism, the self emerges as a bipolar structure characterized by grandiosity at one pole and dependency at the other. Through appropriate developmental processes, grandiosity grows into a mature ambitiousness, and early dependencies are converted into a stable system of ideals. The present investigation predicted that sex role constructs essentially measure these two aspects of the self. Expected relationships between masculinity and grandiosity, and between femininity and dependency, were in fact obtained. Based in large part on Westin's (Self and Society, Cambridge: Cambridge University Press, 1985) analysis of Kohut's theory, synthetic, internal, external, and archaic narcissistic self styles were hypothesized to exist and to parallel the androgynous, masculine, feminine, and undifferentiated sex roles, respectively. Rough comparabilities were in fact evident between these two typologies. Factor analyses also demonstrated that narcissism and sex role measures load on factors in ways revealing the intimate ties between pathological narcissism and the failure to achieve desirable sex role characteristics.