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Relational Self Psychology

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Abstract

Self psychology has evolved beyond Kohut’s original one person psychology into a two person intersubjective theory that we propose can now be best understood as belonging to, and developing through interaction with, the broad spectrum of theories that come under the umbrella of Relationality, which are characterized by some form of bi-directionality and mutual influence. Key to this development has been the restoration of the selfobject from psychic function to personhood with its own subjectivity upon which the patient can have and recognize an impact. Kohut’s conception of the therapeutic action of the acknowledging and repair of empathic failure can be expanded and enriched by relational ideas of mutual recognition, impact, complementarity, and the Third. Inputs from recent theoretical and experimental developments in the theories of attachment, dynamic systems, and trauma have also contributed to the evolution of what we believe is now a fully Relational Self Psychology.

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... The importance of empathy in supportive parenting is well known (Manczak et al., 2016). Empathy is defined as a modality that allows the other person to feel genuinely understood (Magid & Shane, 2017). Davis (2004) treats empathy as a construct encompassing four cognitive and emotional dimensions: perspective taking (an ability to spontaneously adopt the perspectives of other people), fantasy (a tendency to identify with characters in fictional situations), empathic concern (feelings of warmth, compassion, and concern for others), and personal distress (personal feelings of anxious, discomfort and helpless at tense emotional situations, e.g., emergencies). ...
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Psychoanalyst, teacher, and scholar, Heinz Kohut was one of the twentieth century's most important intellectuals. A rebel according to many mainstream psychoanalysts, Kohut challenged Freudian orthodoxy and the medical control of psychoanalysis in America. In his highly influential book The Analysis of the Self, Kohut established the industry standard of the treatment of personality disorders for a generation of analysts. This volume, best known for its groundbreaking analysis of narcissism, is essential reading for scholars and practitioners seeking to understand human personality in its many incarnations. “Kohut has done for narcissism what the novelist Charles Dickens did for poverty in the nineteenth century. Everyone always knew that both existed and were a problem. . . . The undoubted originality is to have put it together in a form which carries appeal to action.”—International Journal of Psychoanalysis
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Bibliogr. s. 286-291
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As I stated initially, the preceding report was presented in order to buttress the claim that the new psychology of the self is helpful in the clinical area, that it allows us to perceive meanings, or the significance of meanings, that were formerly not perceived by us, at least not consciously. This is not a theoretical presentation of the psychology of the self--the theoretical knowledge needed will have to be obtained elsewhere (see, in particular, Kohut, 1971, 1972, 1977 and Kohut & Wolf, 1978). In order to assist the reader I append a diagrammatic summary of the psychopathology of Mr Z as it was perceived by me in his two analyses. For the rest I hope that this case report will speak for itself.
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In this paper, two clinical sequences are presented in an effort to describe the methods by which the analyst attempts to recognise, understand and verbally symbolize for himself and the analysand the specific nature of the moment-to-moment interplay of the analyst's subjective experience, the subjective experience of the analysand and the intersubjectively-generated experience of the analytic pair (the experience of the analytic third). The first clinical discussion describes how the intersubjective experience created by the analytic pair becomes accessible to the analyst in part through the analyst's experience of 'his own' reveries, forms of mental activity that often appear to be nothing more than narcissistic self-absorption, distractedness, compulsive rumination, daydreaming and the like. A second clinical account focuses on an instance in which the analyst's somatic delusion, in conjunction with the analysand's sensory experiences and body-related fantasies, served as a principal medium through which the analyst experienced and came to understand the meaning of the leading anxieties that were being (intersubjectively) generated.
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Analytic work based on the intersubjective view of two participating subjectivities requires discipline rooted in an orientation to the structural conditions of thirdness. The author proposes a theory that includes an early form of thirdness involving union experiences and accommodation, called the one in the third, as well as later moral and symbolic forms of thirdness that introduce differentiation, the third in the one. Clinically, the concept of a co-created or shared intersubjective thirdness helps to elucidate the breakdown into the twoness of complementarity in impasses and enactments and suggests how recognition is restored through surrender.
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