| |
| |
Preface | |
| |
| |
| |
In the Beginning | |
| |
| |
| |
The Reformulation of the Concept of Narcissism | |
| |
| |
Freud's Concept of Narcissism | |
| |
| |
Kohut's Approach to Narcissism | |
| |
| |
Kohut's Objections to Freud's Conception of Narcissism | |
| |
| |
New Wine in Old Bottles | |
| |
| |
Viewing Narcissism as a Continuum | |
| |
| |
The Developmental Line of Narcissism | |
| |
| |
The Reformulation of the Relationship between Narcissism and Object Love | |
| |
| |
The Narcissistic Developmental Line of the Idealized Parental Imago | |
| |
| |
The Developmental Line of the Grandiose-Exhibitionistic Self | |
| |
| |
The Maturation of Narcissism | |
| |
| |
The Emphasis on Shame in Self Psychology | |
| |
| |
Sources of Shame | |
| |
| |
Comparing Self Psychology's Understanding of Shame with That of Classical Analysis | |
| |
| |
The Developmental Perspective on Shame | |
| |
| |
| |
The Self and Selfobject Concepts | |
| |
| |
The Relationship between the Self and Selfobject Concepts | |
| |
| |
The Selfobject Concept as Foundational for Self Psychology | |
| |
| |
The Evolution of Kohut's Selfobject Concept | |
| |
| |
Kohut's Definition of the Self | |
| |
| |
The Constituents of the Self | |
| |
| |
How Kohut Conceived of the Development of the Self | |
| |
| |
How Kohut Envisioned the Healthy Self | |
| |
| |
The Concept of Selfobject Needs | |
| |
| |
Our Enduring Need for Selfobject Responsiveness | |
| |
| |
The Development of the Experience of Selfobject Need | |
| |
| |
What Do Therapists Have to Do to Enable Patients to Have Selfobject Experience? | |
| |
| |
How Do We Know If a Patient Is Experiencing a Selfobject Connection with His Therapist? | |
| |
| |
Important Theoretical Features of the Selfobject Concept | |
| |
| |
The Selfobject Concept and the Concept of Regulation | |
| |
| |
Different Types of Selfobject Needs | |
| |
| |
The Mirroring Selfobject Need | |
| |
| |
The Consequences of a Lack of Mirroring Experience | |
| |
| |
The Developmental Progression of the Mirroring Selfobject Need: The Concept of the Grandiose or Expansive Self | |
| |
| |
The Constituents of a Mirroring Experience | |
| |
| |
The Concept of the Vertical Split | |
| |
| |
Kohut's Concept of the Horizontal Split | |
| |
| |
The Idealizing Selfobject Need | |
| |
| |
The Functions Encompassed by the Idealizing Selfobject Need | |
| |
| |
The Developmental Progression of the Idealizing Selfobject Need | |
| |
| |
The Developmental Consequences of Early and/or Massive Disappointment by the Idealized Parent | |
| |
| |
Kohut's Concept of the Bipolar Self | |
| |
| |
The Need for Alter Ego or Twinship Selfobject Experience | |
| |
| |
The Developmental Progression of Twinship Selfobject Experience | |
| |
| |
Contributions to the Alter Ego/Twinship Concept after Kohut | |
| |
| |
Is Selfobject Experience Usually Singular or Mixed? | |
| |
| |
The Evolution of the Selfobject Concept | |
| |
| |
Suggested Revisions of the Selfobject Concept after Kohut | |
| |
| |
The Concept of Selfobject Relatedness | |
| |
| |
The Relational Specificity of Selfobject Experience | |
| |
| |
The Concept of Self-Cohesion | |
| |
| |
| |
Empathy | |
| |
| |
The Emphasis Placed on the Concept of Empathy in Self Psychology | |
| |
| |
Common Misunderstandings of the Self Psychological View of Empathy | |
| |
| |
How Empathy Is Conceptualized in Self Psychology | |
| |
| |
Kohut's View of Empathy as an Observational Stance | |
| |
| |
Kohut's View of Empathy as Responsiveness | |
| |
| |
Kohut's Understanding of the Developmental Origins of Empathy | |
| |
| |
Narrative Empathy: A Later Contribution to Our Understanding of the Role of Empathy in the Therapeutic Process | |
| |
| |
Understanding the Empathic Process | |
| |
| |
Evan: Case Illustration of the Empathic Process | |
| |
| |
Implications and Consequences of Viewing Empathy as an Ideal for Therapists' Behavior | |
| |
| |
Recent Conceptualizations of Empathy | |
| |
| |
| |
How Self Psychology Conceives of Psychological Growth and Therapeutic Action | |
| |
| |
The Strengthening of the Self | |
| |
| |
The Concept of Structuralization | |
| |
| |
Kohut's Theory of Structuralization: Optimal Frustration of Selfobject Needs Leading to Transmuting Internalization | |
| |
| |
An Illustration of the Process of Optimal Frustration Leading to Growth-Producing Structuralization | |
| |
| |
The Main Constituents of the Process of Transmuting Internalization in Treatment | |
| |
| |
Criticisms of Kohut's Concept of Structure Formation from within Self Psychology and Alternate Conceptualizations of Structure Building | |
| |
| |
Terman's Concept of Structure Building | |
| |
| |
Stolorow, Atwood, and Brandschaft's Concept of Structure Building | |
| |
| |
Beebe and Lachmann's Theory of Structuralization | |
| |
| |
Factors That Contribute to Structuralization or Representation | |
| |
| |
The Corrective Emotional Experience or Corrective Selfobject Experience | |
| |
| |
The Concept of Compensatory Structure | |
| |
| |
The Concept of Self-Liberation as Part of the Curative Process | |
| |
| |
| |
Psychopathology: Disturbance and Disorders of Self-Experience | |
| |
| |
The Self Psychological View of Psychopathology | |
| |
| |
The Theory of the Etiology of Self-Disturbance | |
| |
| |
Why Does the Repetitive Frustration of Selfobject Needs Occur? | |
| |
| |
The General Dynamic Sequence That Results in Psychopathology | |
| |
| |
Case Vignette | |
| |
| |
How Self Psychology Views the Core of Pathology | |
| |
| |
Factors That Cause a Vulnerable Self Structure | |
| |
| |
The Signs of a Vulnerable Self Structure | |
| |
| |
The Related Concepts of Fragmentation and Disintegration Anxiety | |
| |
| |
Disintegration Anxiety | |
| |
| |
Kohut's Reconceptualization of Oedipal Pathology | |
| |
| |
The Causes of Oedipal Pathology | |
| |
| |
How Kohut's Theory of Oedipal Pathology Compares to That of Classical Analytic Theory | |
| |
| |
Castration Anxiety Reconsidered | |
| |
| |
How Symptomatology Is Understood in Self Psychology | |
| |
| |
The Self Psychological Understanding of Trauma | |
| |
| |
The Deficit Concept in Self Psychology | |
| |
| |
The Concept of Problematic Organizing Principles and Processes | |
| |
| |
How Sexualization and Perversion Are Understood by Self Psychology | |
| |
| |
Kohut's Understanding of Substance Abuse and Addiction | |
| |
| |
Later Self Psychological Views of Addiction | |
| |
| |
| |
Clinical Process | |
| |
| |
The Treatment Rationale of Self Psychology | |
| |
| |
How the Patient Is Viewed on Entering Treatment | |
| |
| |
How Self Psychology Views Empathy as Central to the Therapeutic Process | |
| |
| |
Empathy Is Not Considered the Only Useful Listening Position in Self Psychology | |
| |
| |
How Self Psychologists Understand and Work with Resistance/Defensive Functioning | |
| |
| |
Yvonne: Case Illustration of Defense and Resistance | |
| |
| |
The Danger of Viewing Disguised Selfobject Longings as Resistance | |
| |
| |
The Importance and Inevitability of Rupture and Repair | |
| |
| |
The Therapeutic Benefits of Analyzing Ruptures and Disruptions | |
| |
| |
Guidelines for Analyzing Ruptures and Disruptions | |
| |
| |
The Rationale for Placing Special Emphasis on Ruptures in the Selfobject Bond | |
| |
| |
Other Elements Theorized to Be Involved in the Therapeutic Benefits of Analyzing Ruptures in the Selfobject Bond | |
| |
| |
Two Case Illustrations of Rupture and Repair | |
| |
| |
The Self Psychological Conceptualization of Transference | |
| |
| |
The Selfobject Dimension of the Transference | |
| |
| |
Clinical Guidelines and Implications | |
| |
| |
The Idealizing Selfobject Dimension of the Transference | |
| |
| |
Tom: Case Illustration of Transference | |
| |
| |
The Mirroring Selfobject Dimension of the Transference | |
| |
| |
Miss F.: Case Illustration of the Mirroring Selfobject Dimension | |
| |
| |
How Self Psychology Views the Interpretive Process | |
| |
| |
The Concept of the Leading and Trailing Edges of an Interpretation | |
| |
| |
Yvonne: Case Illustration of Interpretation | |
| |
| |
What Stolorow Added to Self Psychology's View of the Interpretive Process | |
| |
| |
The Concept of Optimal Responsiveness | |
| |
| |
Countertransference | |
| |
| |
How Kohut Conceptualized Countertransference | |
| |
| |
How Kohut Conceptualized Specific Countertransferences | |
| |
| |
How Self Psychology Views the Analyst's Selfobject Needs as Influencing the Countertransference | |
| |
| |
How Fosshage's Concept of Listening Positions Has Added to the Self Psychological View of Countertransference | |
| |
| |
Yvonne: Case Illustration of Listening Positions | |
| |
| |
The Concept of Self-State Dreams | |
| |
| |
How Theorists after Kohut Have Elaborated the Concept of the Self-State Dream | |
| |
| |
How the Paradigm Shift from a Positivist to a Constructivist Model Has Affected Self Psychology's Clinical Practice | |
| |
| |
How the Paradigm Shift from a Drive Reduction to a Relational Model Has Been Reflected in Self Psychology's Clinical Practice | |
| |
| |
The Comparison with Classical Analysis | |
| |
| |
The Main Guidelines for Clinical Practice According to Self Psychology | |
| |
| |
| |
Intellectual and Sociocultural Influences on Kohut | |
| |
| |
How Kohut Was Influenced by the Glorification of Personal Subjectivity | |
| |
| |
How Kohut Was Influenced by the Shift from the Logical-Positivist Empiricist Model to the Postempiricist, Postmodern Model of Scientific Inquiry | |
| |
| |
How Kohut Was Influenced by Modern Physics | |
| |
| |
How Kohut Was Influenced by His Cultural Interests | |
| |
| |
Kohut's Background in Psychoanalysis | |
| |
| |
Kohut's Objections to Ego Psychology | |
| |
| |
Kohut's Thesis in "Introspection, Empathy, and Psychoanalysis" | |
| |
| |
The Historical Background of the Controversy about Psychoanalytic Epistemology | |
| |
| |
| |
Intersubjectivity | |
| |
| |
How Intersubjectivity Theory Evolved | |
| |
| |
The Basic Concepts of Intersubjectivity Theory | |
| |
| |
Principles That Guide the Conduct of Psychoanalytic Treatment According to Intersubjectivity Theory | |
| |
| |
Intersubjectivity Theory Is Not a Traditional Psychoanalytic Theory | |
| |
| |
How Intersubjectivity Theory Views | |
| |
| |
Pathological Development | |
| |
| |
Intersubjectivists Consider Parental Affective Misattunement a Frequent Source of Psychopathology | |
| |
| |
Zack: Case Illustration of Parental Misattunement | |
| |
| |
How Intersubjectivists Have Reconceptualized the Unconscious | |
| |
| |
Therapeutic Factors That Facilitate Treatment According to Intersubjectivity Theory | |
| |
| |
How Transference and Countertransference Are Viewed in Intersubjectivity Theory | |
| |
| |
How the Transference and Countertransference Are Influenced by Intersubjective Conjunction and Disjunction | |
| |
| |
Evan: Case Illustration of Disjunction | |
| |
| |
The Two Dimensions of the Transference According to Intersubjectivity Theory | |
| |
| |
How Intersubjectivity Theory Views Therapeutic Action | |
| |
| |
How Intersubjectivity Theory Compares to Self Psychology | |
| |
| |
| |
Motivational Systems Theory | |
| |
| |
The Motivational System Based on the Psychic Regulation of Physiological Requirements | |
| |
| |
The Attachment Motivational System | |
| |
| |
The Exploratory-Assertive Motivational System | |
| |
| |
The Aversive Motivational System | |
| |
| |
The Sensual-Sexual Motivational System | |
| |
| |
Case Vignette | |
| |
| |
| |
Self Psychology's View of Aggression | |
| |
| |
The Relationship between the Self Psychological Views of Narcissism and Aggression | |
| |
| |
Kohut's Concept of Narcissistic Rage | |
| |
| |
What Stimulates Narcissistic Rage? | |
| |
| |
How Kohut Compared Narcissistic Rage with Healthy Aggression | |
| |
| |
How Narcissistic Rage Is Manifested | |
| |
| |
Kohut's Guidelines for the Treatment of Narcissistic Rage | |
| |
| |
How Kohut Viewed Narcissistic Rage as Informing Our Understanding of Aggression | |
| |
| |
Contributions to Self Psychology's View of Aggression after Kohut | |
| |
| |
| |
The Vision of Self Psychology | |
| |
| |
How Self Psychology Is Developmental and Relational | |
| |
| |
How the Relational and Developmental Vision of Self Psychology Shapes Its Clinical Sensibility | |
| |
| |
How the Self Psychological View of Human Interdependence Shapes Its Clinical Sensibility | |
| |
| |
How Self Psychology's Relational Emphasis Compares with Other Psychoanalytic Theories | |
| |
| |
How Self Psychology's Focus on Subjectivity Shapes Its Clinical Sensibility | |
| |
| |
How Therapeutic Optimism Is a Feature of Self Psychology's Sensibility | |
| |
| |
| |
Self Psychology's Contributions to the Evolution of Psychoanalytic Theory and Practice | |
| |
| |
| |
Theorists Who Anticipated Self Psychology | |
| |
| |
The Influences of Previous Theorists on Kohut | |
| |
| |
How Ferenczi Anticipated Self Psychology | |
| |
| |
How Balint Anticipated Self Psychology | |
| |
| |
How Fairbairn Anticipated Self Psychology | |
| |
| |
How Winnicott Anticipated Self Psychology | |
| |
| |
References | |
| |
| |
Index | |