Self-Functioning and Perceived Parenting: Relations of Parental Empathy and Love Inconsistency with Narcissism, Depression, and Self-Esteem

ERIC Educational Resources Information Center

Trumpeter, Nevelyn N.; Watson, P. J.; O'Leary, Brian J.; Weathington, Bart L.

2008-01-01

In Heinz Kohut's (1977, 1984) theory of the psychology of the self, good parenting provides a child with optimal frustration and just the right amount of loving empathic concern. In the present study, the authors examined the relations of perceived parental empathy and love inconsistency with measures of narcissism, self-esteem, and depression. In…

Developmental Career Counseling.

ERIC Educational Resources Information Center

O'Brien, Michael T.

This paper outlines a developmental self psychology for use by career counselors with career clients. It offers a definition of a psychological self, draws from the work of Mead, Vygotsky, and Kohut to develop an understanding of the processes involved in the development and internalization of a psychological self, and connects the work of career…

The interface of self psychology, infant research, and neuroscience in clinical practice.

PubMed

Rustin, Judith

2009-04-01

This article focuses on the integration of self psychology with findings from infant research and neuroscience. While Kohut's psychology of the self provides a useful theoretical model for psychoanalytic practice, aspects of infant research and neuroscience offer specificity and nuance to basic self-psychological concepts. Kohut proposed that self-psychological psychoanalysis ameliorates derailed development through patient-analyst interaction, while a listening stance of empathic immersion begins the curative process of derailed development and sets the stage for reparative psychoanalytic work. Findings from infant research delineate much more specifically the nature of attunement both in early mother-infant and analyst-patient interactions. Findings from neuroscientific research delineate how early mother-infant experiences are encoded in implicit memory and explicates the emotional substrate of affects and feelings. This emotional substrate exists at birth and provides a means of communication both in infancy and adulthood. Additionally, infant research delineates the mutuality of the interactive process. Thus, both infant research and neuroscience add subtlety and nuance to basic self-psychological concepts. This subtlety opens up new ways of understanding patients and expands the clinical repertoire. Three clinical vignettes demonstrate how this nuance and expansion of self-psychological concepts are applied in the context of an ongoing psychoanalytic treatment.

Narcissism, hypochondria and the problem of alternative theories.

PubMed

Hanly, Charles

2011-06-01

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. Copyright © 2011 Institute of Psychoanalysis.

Happiness: origins, forms, and technical relevance.

PubMed

Akhtar, Salman

2010-09-01

By critically reviewing Freud's views on happiness, and also those of Helene Deutsch, Bertram Lewin, Melanie Klein, and Heinz Kohut, the author evolves a complex and multilayered perspective on the phenomenon. He categorizes happiness into four related and occasionally overlapping varieties: pleasure-based happiness (elation), assertion-based happiness (joy), merger-based happiness (ecstasy), and fulfillment-based happiness (contentment). After entering some caveats and drawing from his clinical experience, the author then demonstrates the relevance of these ideas to the conduct of psychotherapy and psychoanalysis.

Relations between Minuchin's Structural Family Model and Kohut's Self-Psychology Constructs.

ERIC Educational Resources Information Center

Perosa, Linda

1996-01-01

Examines relationship between structural family model and self-psychology constructs. College women (n=164) completed the Structural Family Interaction Scale-Revised (SFIS-R), the Parental Relations Inventory, and the Goal Instability and Superiority scales from the Self-Expression Inventory. Indicated that women raised in families with strong…

Self-functioning and perceived parenting: relations of parental empathy and love inconsistency with narcissism, depression, and self-esteem.

PubMed

Trumpeter, Nevelyn N; Watson, P J; O'Leary, Brian J; Weathington, Bart L

2008-03-01

In Heinz Kohut's (1977, 1984) theory of the psychology of the self, good parenting provides a child with optimal frustration and just the right amount of loving empathic concern. In the present study, the authors examined the relations of perceived parental empathy and love inconsistency with measures of narcissism, self-esteem, and depression. In a sample of university undergraduates (N=232; 78 men, 153 women, and 1 nonresponder), perceived parental empathy predicted more adaptive self-functioning, whereas parental love inconsistency was related to psychological maladjustment. These results support the theoretical assumption that perceived parental empathy is associated with healthy self-development.

Self psychology conceptualization of postpsychotic depression and recovery among paranoid schizophrenic patients.

PubMed

Potik, David

2014-01-01

Many psychoanalysts have offered innovative ideas on the treatment of schizophrenic patients, but none on postpsychotic depression. The author presents a psychoanalytic conceptualization of postpsychotic depression based on Kohut's ideas regarding the development of normal and pathological grandiosity. The main premise is that postpsychotic depression stems from the loss of psychotic grandiosity, and that it is the psychological reaction to the loss of omnipotent identity whose role it is to provide an alternative reality. Through near-experience connectedness, clinicians and practitioners in the psychiatric rehabilitation field can facilitate an empathic milieu in which new mental constructs can be established and new behavioral skills can be learned.

The tragic and the metaphysical in philosophy and psychoanalysis.

PubMed

Stolorow, Robert D; Atwood, George E

2013-06-01

This article elaborates a claim, first introduced by Wilhelm Dilthey, that metaphysics represents an illusory flight from the tragedy of human finitude. Metaphysics, of which psychoanalytic metapsychologies are a form, transforms the unbearable fragility and transience of all things human into an enduring, permanent, changeless reality, an illusory world of eternal truths. Three "clinical cases" illustrate this thesis in the work and lives of a philosopher and two psychoanalytic theorists: Friedrich Nietzsche and his metaphysical doctrine of the eternal return of the same, Sigmund Freud and his dual instinct theory, and Heinz Kohut and his theoretical language of the self. It is contended that the best safeguard against the pitfalls of metaphysical illusion lies in a shared commitment to reflection on the constitutive contexts of all our theoretical ideas.

From archaic narcissism to empathy for the self: the evolution of new capacities in psychoanalysis.

PubMed

Gehrie, Mark J

2011-04-01

The concept of the selfobject was central to Heinz Kohut's psychology of the self. With an eye to studying the development of narcissism and its implications for the growth of new psychic structure, this concept is reviewed and reassessed. Post-Kohutian complexities regarding its definition and use extend our consideration of the development of narcissism beyond archaic configurations toward further evolution of the self and the nature of mature narcissism. The hypothesis is offered that developing narcissism and the growth of self-regulation impact the acquisition of new structure and new capacities through the emergence of newly potentiated aspects of the self. The implications of these emergent qualities of the self are examined in the context of our understanding of self-esteem regulation, the state of the self, and the goals of psychoanalysis. A clinical example illustrates how technique and process in an analysis may be organized around the development of such new capacities.

Ethical Challenges in Psychiatric Administration and Leadership.

PubMed

Moffic, H Steven; Saeed, Sy Atezaz; Silver, Stuart; Koh, Steve

2015-09-01

As with all professional ethical principles, those in psychiatry have to evolve over time and societal changes. The current ethical challenges for psychiatric administration and leadership, especially regarding for-profit managed care, need updated solutions. One solution resides in the development by the American Association of Psychiatric Administrators (AAPA) of the first set of ethical principles designed specifically for psychiatric administrators. These principles build on prior Psychological Theories of leadership, such as those of Freud, Kernberg, and Kohut. Supplementing these theories are the actual real life models of psychiatrist leadership as depicted in the memoirs of various psychiatrists. Appreciating these principles, theories, and models may help emerging leaders to better recognize the importance of ethical challenges. A conclusion is that psychiatrists should have the potential to assume more successful leadership positions once again. In such positions, making the skills and well-being of all in the organization seems now to be the foremost ethical priority.

Shapes and sounds as self-objects in learning geography.

PubMed

Baum, E A

1978-01-01

The pleasure which some children find in maps and map reading is manifold in origin. Children cathect patterns of configuration and color and derive joy from the visual mastery of these. This gratification is enhanced by the child's knowledge that the map represents something bigger than and external to itself. Likewise, some children take pleasure in the pronunciation of names themselves. The phonetic transcription of multisyllabic names is often a plearurable challenge. The vocalized name has its origin in the self, becomes barely external to self, and is self-monitored. Thus, in children both the configurations and the vocalizations associated with map reading have the properties of "self=objects" (Kohut, 1971). From the author's observation the delight which some children take in sounding out geographic names on a map may, in some instances, indicate pre-existing gratifying sound associations. Childish amusement in punning on cognomens may be an even greater stimulant for learning than visual configurations or artificial cognitive devices.

Characteristics of self-regulation in adolescent girls with type 1 diabetes with and without eating disorders: a cross-sectional study.

PubMed

Grylli, Vasileia; Wagner, Gudrun; Berger, Gabriele; Sinnreich, Ursula; Schober, Edith; Karwautz, Andreas

2010-09-01

Pathology of the regulative mechanisms of self seems to be connected with eating disorders (EDs). The present study aimed to explore the hypothesis that there are differences in self-regulation in adolescent girls with Type 1 diabetes with and without EDs. A cross-sectional design was employed comparing patterns of self-regulation in adolescent girls with Type 1 diabetes with and without EDs in two eating status groups. For the presence of EDs, 76 adolescent girls with Type 1 diabetes were assessed. Of these, 23 were diagnosed with an ED. In addition, dimensions of self-regulation as conceptualized in terms of Kohuts' psychodynamic theory of self were assessed. Adolescent girls with Type 1 diabetes and an ED were higher in three aspects of self-regulation - negative body self, object depreciation, and narcissistic gain from illness - in comparison with their peers without EDs. This study is the first to show evidence of deficits in self-regulation in adolescent girls with Type 1 diabetes and EDs. The importance of evaluating parameters of self-regulation for treatment planning for these youths is outlined.

From Narcissism to Face Work: Two Views on the Self in Social Interaction.

PubMed

Peräkylä, Anssi

2015-09-01

Through the analysis of conversational interaction and clinical notes, this article develops conceptual linkages between the Goffmanian concept of face and the psychoanalytic and psychiatric understandings of narcissism. Self-cathexis--the investment of libidinal emotion to the image of self--is a key issue both for Goffman and in psychoanalytic studies of narcissism. For Goffman, the self and its cathexis are inherently fragile interactional achievements, whereas for psychoanalysts such as Kernberg and Kohut, they are relatively stable intrapsychic structures. An application of Goffman's theory to narcissistic personality disorders suggests that pathological narcissism involves the isolation of the person's self-image from interactional. practices and a consequent inability to benefit from face work in ordinary social encounters. Clinical experience suggests revisions to the theory of face work: there is a biographical continuity in a person's experience of face, and successful participation in face work is made possible by the psychic capacity of playful orientation to one's own and others' narcissistic illusions. Such playful orientation is manifested through the interactional practices of role distancing.

[The application of the theory of narcissism in criminal proceedings (forensic theory of narcissism)].

PubMed

Gabbert, Thomas G

2009-01-01

The concept of narcissism was introduced by Freud's psychoanalysis and is founded on a solid biological basis today, namely the so-called happiness hormones (endorphins, serotonin etc.), which generate happiness, joy and other positive feelings in the human being. By setting rules as to which actions are socially accepted and appreciated and thus associated with a positive feedback, society is able to promote the desirable behaviour and effectively control the integration of the individual into society. Happiness can be sought either in professional or in private life. Negative experiences in one of these fields can be compensated by positive experiences in the other. By means of a case, in which bottled-up narcissistic rage led to a state of severely impaired consciousness, the applicability of the forensic theory of narcissism in criminal law is illustrated and discussed. Depressive disorders, posttraumatic stress disorders, personality changes after extremely stressful situations and non-substance addictions such as computer addiction can be better understood on the basis of Kohut's model of the narcissistic balance of satisfaction.

Self psychology as a shift away from the paranoid strain in classical analytic theory.

PubMed

Terman, David M

2014-12-01

Classical psychoanalytic theory has a paranoid strain. There is, in effect, an "evil other"--the id--within each individual that must be tamed in development and confronted and worked through as resistance in treatment. This last has historically endgendered an adversarial relationship between patient and analyst. This paranoid strain came from a paranoid element in Freud's personality that affected his worldview, his relationships, and his theory. Self psychology offers a different view of development and conflict. It stresses the child's need for responsiveness from and admiration of caretakers in order to develop a well-functioning self. Though severe behavioral and character problems may result from faults in the process of self-construction, the essential need is not instinctual discharge but connection. Hence the long-assumed opposition between individual needs and social institutions or between patient and analyst is no longer inevitable or universal. Rather, an understanding of the primary need for connection creates both a different interpretive stance and a more cooperative ambience. These changes in theory and technique are traced to Kohut's personal struggles to emancipate himself from his paranoid mother. © 2014 by the American Psychoanalytic Association.

Connect, then lead.

PubMed

Cuddy, Amy J C; Kohut, Matthew; Neffinger, John

2013-01-01

In puzzling over whether it's better to be feared or loved as a leader, Machiavelli famously said that, because it's nigh impossible to do both, leaders should opt for fear. Research from Harvard Business School's Amy Cuddy and consultants Matthew Kohut and John Neffinger refutes that theory, arguing that leaders would do much better to begin with "love"--that is, to establish trust through warmth and understanding. Most leaders today approach their jobs by emphasizing competence, strength, and credentials. But without first building a foundation of trust, they run the risk of eliciting fear, resentment, or envy. Beginning with warmth allows trust to develop, facilitating both the exchange and the acceptance of ideas--people really hear your message and become open to it. Cultivating warmth and trust also boosts the quantity and quality of novel ideas that are produced. The best way to gain influence is to combine warmth and strength--as difficult as Machiavelli says that may be to do. In this article, the authors look at research from behavioral economics, social psychology, and other disciplines and offer practical tactics for leaders hoping to project a healthy amount of both qualities.

Antecedents of narcissism and psychological reactance as indicated by college students' retrospective reports of their parents' behaviors.

PubMed

Joubert, C E

1992-06-01

49 men and 120 women responded to the Narcissism Personality Inventory, the Hong Psychological Reactance Scale, and a questionnaire regarding parental practices. Men reported that their fathers used spanking more heavily than did women, while women reported more than did men that their mothers provided encouragement toward independence. As compared to mothers on these reports, fathers were less likely to be described as "fair," to use praise, money as rewards, or "grounding," and to have interest in their children's activities, but more likely to be described as "strict." Men (but not women) reported that their fathers had been more likely to administer spankings than were their mothers. Persons who were more narcissistic tended to score higher in reactance and had fathers who used monetary rewards more and encouraged independence to a greater extent. These results are contrary to those expected from Kernberg's and Kohut's views linking narcissism to less nurturance by parents. Higher psychological reactance scores correlated with less praise, more scolding, and more verbal abuse from both parents. Psychological reactance scores also correlated with more spanking by fathers and with their being described as being less fair. These results suggest that punitive disciplinary styles are not related to narcissism but are to psychological reactance.

Survey of psychotherapeutic approaches to narcissistic personality disorder.

PubMed

Nurnberg, H G

1984-01-01

The spectrum of Narcissistic Personality Disorder extends from severe impairment to high levels of success, fame, power, and wealth. Several treatment frameworks are available. The therapist must be flexible to choose and shift between libidinal and narcissistic issues to those of ambivalence or ego syntonic character defenses or to focus on ego defense mechanisms or object relationships (Esmiol, 1974). A curative process requires enduring corrective structural changes within distorted intrapsychic configurations manifesting themselves as psychopathology (Horowitz, 1976). These structural changes come about by completion of the working through process. Recurrences will occur, even with insight, but self-mastery enables the patient to take on new functions formerly avoided. In Kohut's view, more cohesive reorganized personality is characterized by (Goldberg, 1973): increased empathy within interpersonal relationships and toward the self; previous rebuffs, failures, and separations of fragmenting consequences and turmoil are experienced with minimal reversible regression; object relations improvement without evidence of extreme narcissistic sensitivity; improved sense of humor indicating a capacity for flexible detachment and distance from the self; emergence and proliferation of satisfying creative talents; increased capacity to work alone and achieve personal gratification; capacity to give without contingencies of anticipated personal gain; and capacity to genuinely recognize and mourn the loss of an important real other.

Prayer as therapeutic process toward transforming destructiveness within a spiritual direction relationship.

PubMed

Kuchan, Karen L

2011-03-01

This article will expand previous conceptualizations (Kuchan, Presence Int J Spiritual Dir 12(4):22-34, 2006; J Religion Health 47(2):263-275, 2008; J Pastoral Care Counsel, forthcoming) of what might be occurring during a prayer practice that creates space within a spiritual direction relationship for the creation of inner images that reveal a person's unconscious relational longings and co-created representations of God that seem to facilitate therapeutic process toward aliveness. In previous articles, I suggest one way to understand the prayer experience is through a lens of Winnicottian notions of transitional space, illusion, and co-creation of God images. This article expands on these ideas to include an understanding of God as Objective Other (Lewis, The four loves, 1960) interacting with a part of a person's self (Jung, in: The structure and dynamics of the psyche, collected works 8, 1934; Symington, Narcissism, a new theory, 1993) that has capacity for subjectivity (Benjamin, Like subjects, love objects: Essays on recognition and sexual difference, 1995) and co-creation (Winnicott, Home is where we start from: Essays by a psychoanalyst, 1990), of inner representations of God (Ulanov, Winnicott, god and psychic reality, 2001). I also expand on a notion of God as "Source of aliveness" by integrating an aspect of how Symington (Narcissism, a new theory, 1993) thinks about "the lifegiver," which he understands to be a mental object. After offering this theoretical expansion of the prayer practice/experience, one woman's inner representations of self and God are reflected upon in terms of a therapeutic process toward transforming destructiveness, utilizing ideas from Winnicott, Kohut, and Benjamin.

The outpatient psychotherapy of the borderline patient.

PubMed

Chessick, R D

1993-01-01

This paper discussed common problems in the outpatient psychotherapy of borderline patients, especially their rage, seductiveness, and abrupt negative shifts. The definition of "borderline" is not settled. Even DSM-III-R mixes it up with other personality disorders. There are no pathognomonic symptoms, no specific personality constellations, and no compelling evidence for a definitive stage in infant development when this disorder is fixed; all stages are involved, from faulty foundational to oedipal periods. It is a descriptive diagnosis and typical presentations of such patients are reviewed. In the psychotherapeutic approach, limits must be set first, but these must be flexible and reasonable. Medications are used rarely and with care. We attempt to form an alliance by (a) getting the patient to join us in a study of himself or herself, especially a study of when rage and maladaptive behavior emerges, and (b) providing a consistent and reasonable ambience. The ultimate aim is uncovering and interpreting when the patient is ready for it, more and more approximating psychoanalytic treatment as the patient's pathology permits. The special phenomena of the self-object (Kohut), transitional object (Modell), and disruptive extreme erotic or raging (Kernberg) transferences were reviewed, as well as the pitfalls of therapist anxiety and impatience in dealing with them. While archaic transferences predominate, we serve as an auxiliary microscopic ego and appeal to the rational adult part of the patient's ego in a phenomenological investigation. We interpret early only if we cannot get the patient to examine what has led to the explosions and when distortions or projection without insight continues to predominate. The dangers of early transference interpretations are discussed. Therapy is long, tedious, and requires the willingness to patiently catalyze the patient's resumed development and endure the periodic disruptions. Countertransference problems and what to do about

Essentials of psychoanalytic cure: a symposium. Introduction and survey of some previous views.

PubMed

Osman, M P; Tabachnick, N D

1988-01-01

Friedman (1978) suggested that implicit in the theories of the psychoanalytic process a classification of three separate trends can be identified. In the first instance, there is what could be called "understanding," whether it be intellectual or emotional. Second, there is "attachment," which refers to curative measures based on some "binding emotional reaction to the analyst." And third, and less explicitly, there is "integration," which refers to the development of a synthesis that has the effect of harmonizing parts of the mind or elevating psychic functioning to a higher level. Freud's writings embodied all three of these trends. The participants of the symposium at Marienbad, being strongly influenced by Strachey's emphasis on superego alteration through introjection, placed the greater stress on attachment. Loewald, emphasizing as he does the importance of the patient's identification with the analyst as a corrective reliving of the origins of identification in childhood, highlights attachment while also relating it to understanding. Stone and Gitelson also focused on the beneficial aspects of the affective link to the analyst and the important function served by this link in facilitating understanding of the analyst's interpretation. At the Edinburgh conference, however, aside from Gitelson and Nacht, who viewed attachment as an integrating or structuring aspect of the analytic process, the participants placed their confidence almost completely on "understanding" strictly through interpretation. In the latest debate between the proponents of self psychology and the object relations approach proposed by Kernberg, many aspects of these previous discussions and controversies have resurfaced (Friedman, 1978). Kohut, utilizing Freud's concept that links gratification and minimal frustration together as the developer of structure, relied on the empathic bond between patient and analyst as a basic component of the process of cure. Kernberg, however, relying