Psychoanalysis and self psychology: a metapsychological essay with a clinical illustration

This paper is an attempt to evaluate critically some theoretical and clinical consequences of the psychoanalytic psychology of the self in its broad, supraordinate position. From this either-or position, advocated by Kohut and his followers, self psychology corrodes some of the most central explanatory concepts of psychoanalysis--conflict, transference, and resistance. In an extensive case illustration, I have tried to show the conceptual and technical impoverishment of the self-psychological views with respect to the concepts of organization in conflict, in defense, and in development, and with respect to the role of aggression and to the concepts of transference and resistance. These consequences of the supraordinate self-psychological viewpoint are related to its overt attack on metapsychology, which is linked to an epistemological fallacy as a consequence of the exclusive use of empathy and introspection with grave consequences for our explanatory power, i.e., a fundamental confusion between the realms of content and of function. This also implies an obstacle in the systematic study of self-deception and a threat to psychoanalysis defined as the study of human behavior considered from the viewpoint of conflict. Finally, an attempt is made to integrate the views of Kohut with those of Winnicott and of classical metapsychology.     

Health psychology and clinical psychology: a comparison through content analysis.

Extension of a previous analysis of articles published in two journals representative of health psychology and two in health education showed some similarities and differences. The present analysis of 100 papers from two journals in health psychology and 495 from two in clinical psychology clearly shows health as a subspecialty of clinical psychology.     

Developmental psychology and psychoanalysis: I. The context for a revolution in psychoanalysis

After describing the manner in which the integration of psychoanalysis and developmental psychology became a central problem for ego psychology, the author examines the conditions that make it possible for new research and theory in developmental psychology to contribute to a revolution in contemporary psychoanalytic theory. They include: (1) the emergence of a state of "crisis" in American psychoanalysis centering on questions of the nature of early development and how it can be known; (2) the explosive growth of developmental research on early childhood dealing with issues at the heart of that crisis; and (3) the presence of a new generation of psychoanalysts and psychoanalytically oriented researchers capable of bringing that research to bear on those issues.     

The contribution of ego psychology to understanding the process of termination in psychoanalysis and psychotherapy

Ego psychology is presented as an integrated psychoanalytic developmental theory, including a theory of object relations. The process of termination is employed as one of the many possible illustrations of the usefulness of this theory. Termination is regarded as a process that pervades the treatment from the outset, rather than as the final phase of treatment only, because the treatment process, whether psychoanalysis or psychotherapy, includes continuous promotion of ever-increasing autonomy. Ideally, by the time termination proper takes place, maximum autonomy has been attained. To the definition of autonomy as intersystemic, involving relative independence of the ego from the drives (and from the super-ego), an object-relations dimension is added which extends that definition to include an intrasystemic consideration--namely, relative independence of the self-representation from the object representations. Especially in the treatment of the borderline conditions is the intrasystemic factor cogent because borderline states are characterized by varying degrees of incompletely differentiated self- and object representations. The objective, in the psychoanalysis of neurosis, where self- and object constancy already exist to a large degree, is ego autonomy in the intersystemic sense. In the psychotherapy of the borderline conditions, the objective is greater differentiation of the self-representation from the object representations.     

The development of our sense of self as a defense against invading thoughts: From Buddhist psychology to psychoanalysis

In interdisciplinary debates on the nature of the self, no-self accounts often refer to Buddhist psychology, arguing that the self is an illusion arising from our identification with mental content. What is often missing, however, is a developmentally, motivationally and emotionally plausible reason why this identification happens in the first place. It is argued that directing attention to our ongoing thought activities and their effect on our mind reveals their often invasive character. This is supported by psychoanalytic accounts on the ontogenetic and phylogenetic origins of thinking. On an experiential level, invading thoughts have similarities to attacks and provoke defensive reactions. The defense mechanism described as identification with the aggressor is used as a model in order to better grasp how we deal with invading thoughts, namely, by identifying with them and thus generating a sense of self as an agent of thoughts which provides an illusion of control.     

The function of theory in psychoanalysis: a self psychological perspective

Although aware of a lack of consensus in the literature about the exact nature of the relationship between psychoanalytic theory and the clinical process, the authors contend that the analyst's theory(ies) are inextricably intertwined with the treatment process. Two clinical case examples are presented to illustrate this and to highlight the authors' discussion of the empathic mode of listening and its role in self psychology, as well as the self-object transferences and the interpretive process in self psychology.     

Between the modern and the postmodern. The possibility of self and progressive understanding in psychology

Psychology assumes defensible notions of human subjectivity and understanding. Yet, some versions of postmodernism, including some of those currently influential within psychology, eschew the possibility of the kind of understanding-capable personhood on which modern psychology has depended. The authors argue for a skeptical, middle-ground position that might allow psychologists to resist a forced choice between modernism and postmodernism in their subject matter and understanding. The authors set up their argument with 2 stories of human development and change. These stories assume no fixed, essentialist foundations of the sort favored in classically modern psychologies, yet they maintain the possibility of both self and understanding within a real but contingent physical, biological, and sociocultural world. The authors then articulate a middle-ground position as one that avoids the fixed foundationalism, essentialism, and absolute certitude of modernity, without endorsing the radical arbitrariness, antisubjectivism, and anarchistic relativism of some versions of postmodernity.     

Diversity of learning psychoanalysis and analytical psychology

As the subject of this Conference is 'Diversity and its Limits: New Directions in Analytical Psychology and Psychoanalysis', I would like to investigate some aspects of education at our Institute--the East European Institute of Psychoanalysis--from the point of view of the meeting of West and East. I will look at the influence of this diversity on the formation and development of psychoanalysis and analytical psychology in Russia.     

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.