Psychotherapy After Kohut: A Textbook of Self Psychology
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giuliettasprint.konfer.eu: Psychotherapy After Kohut (): Ronald R. Lee, Psychotherapy After Kohut: A Textbook of Self Psychology and millions of other. For Lee and Martin, self psychology has grown to preeminence out of a clash of competing psychotherapy paradigms. Unique to "Psychotherapy After Kohut" is.
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View all copies of this ISBN edition:. Synopsis About this title Hailed as "a superb textbook aimed at introducing psychoanalytic self psychology to students of psychotherapy" Robert D. Review : "The sensitivity and understanding they bring to the complex history of self psychology and its constructs is unsurpassed in my experience.
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London: Whurr Publishers. The first book is generally recommendable; whilst the second book is well-suited for those who come from an Object Relations perspective and wish to acquaint themselves with the similarities and differences between the Object Relations schools and Self Psychology. I conclude this article with a list of those aspects of Self Psychology which I have found most useful in the work that I do which is mainly eclectic brief therapy with problems-of- life clients.
At the time I had read a little of Freud whom I found rather cold, technical and overly imposing of his grand theories on his clients and a whole lot of Jung who radiated wise humanity, but was also prone to imaginative excesses and supernaturalism. The reading and discussion of Kohut led me to the works of other self psychologists such as Goldberg, Wolf, the Ornsteins, Gedo, Basch; then, more importantly, to the cognate approaches of Lichtenberg and motivational systems theory, as well as Stolorow and intersubjectivity.
I subsequently went on to explore Sullivan and interpersonal psychoanalysis, Mitchell, Aron and relational psychoanalysis. The journey for me continues. This is because I also draw on the work of a number of rebellious geniuses who were expelled from the psychoanalytic fold or not accepted into it. But this is another story.
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As a psychologist, I have left the sparse simplicities of cognitive-behaviourism far behind me. Nonetheless, some of CBT's insights and techniques are useful for some clients. But my experience of what best works overall with my clients intersubjectively within the counselling room, not empirically by self-report has led me to more complex and subtle accounts of client subjectivity and behaviour—which contemporary psychoanalytically or psychodynamically-informed approaches provide.
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- Psychotherapy After Kohut: A Textbook of Self Psychology by Ronald R. Lee.
Research has now established that the relationship between client and therapist is critical to positive psychotherapy outcomes. Much of this research has been conducted by psychotherapists who have a psychoanalytic background. Because Kohut was a starting point for me, I and my clients have a lot therefore to thank him and Self Psychology for.
How best to learn Self Psychology? As suggested earlier, a major stumbling block to understanding Self Psychology is the difficult reading of Kohut's three major books: The analysis of the self , The restoration of the self and How does analysis cure? This is compounded by the fact that ease of reading, perhaps counter-intuitively, increases over time.
The first book is highly impenetrable, especially to those who are unfamiliar with the jargon of Ego Psychology, the school out of which Self Psychology emerged. This address by the way is available on video and is well worth watching. There are several of these about, but with the rapid evolution of Self Psychology some have become a little dated: Wolf , White and Weiner , Lee and Martin , Jackson , Siegal , Shane, Shane and Gales Apart from the two recent books I now recommend and which are described below, there is Goldstein , which may be of particular utility to social workers.
Lessem is in private psychoanalytic psychotherapy practice in New York teaching also at the Institute for the Psychoanalytic Study of Subjectivity. His book is a most admirable piece of work. It is clearly and simply but not simplistically written. There are also valuable appendices on theorists who anticipated Self Psychology: Ferenczi, Balint, Fairbairn and Winnicott. In addition, in the Contents, there is a detailed breakdown showing each of the major sections of chapters. This is extremely handy for readers more familiar with Self Psychology, enabling them easily to hone in on areas of particular interest.
Lessem does not just focus on primary sources but thoroughly draws on secondary sources including previous introductions to Self Psychology. These references to secondary sources are very much up-to-date.
Stolorow sees the book as clinician-friendly, valuable to seasoned practitioners as well as trainees. These are seen by many as the two main contemporary streams of post-Kohutian psychoanalysis, along with the traditional stream, composed of those survivors of Kohut's inner circle, Goldberg, Wolf, and the Ornsteins. As can be seen and as may be expected by any psychoanalytic neophyte, there is a host of painful jargon to master by any aspiring self psychologist.
Clearly Mollon is widely read and is able to synthesise or make useful comparisons amongst a number of different psychoanalytic schools. Mollon is a clinical psychologist, a member of the British Psychoanalytical Society and a Tavistock psychotherapist. He is the author of four previous books on narcissism, trauma and memory.
These similarities were, strangely, not properly alluded to by Kohut. In their now classic books both Greenberg and Mitchell and Bacal and Newman have highlighted some of the important overlaps which have together formed part of a psychoanalytic revolution referred to earlier in this article. Mollon contends that some of the writings about Kohut have simplified and distorted his ideas.
Self psychology
In other words they seem designed primarily for psychoanalytic practitioners. These are some of the chapter headings: Rage, shame and presymbolic dread; Discerning invisible structures; Perversion, the vertical split and the psychoeconomic dimension; Kohut and the internal object; Impasse and Oedipus; Schizophrenia and depression—the fragmented self and the thwarted self; The developmental neurobiology of the self-object relationship; and Self Psychology perspectives on childhood trauma. There is also a useful chapter on Empathy and the intersubjectivists, as well as an Appendix, Notes on Kohut the man.
Kohut uses very loosely a number of different metaphors to describe various self-states: distorted, defective, fragmented, incoherent, weak, empty, hollow, unreal, dead, lack of harmony or balance, containing split-off parts, lack of solidity and so on. This focus on the quality of self-experience was a useful contribution by Kohut.
But for Mollon to place in such high relief the energy component of self-experience seems rather over-played. When a patient is in the grip of disintegration anxiety, he or she is not concerned about what has led to that inner crisis -- just as the inhabitants of a house on fire will have more pressing concerns than the initial cause of the flames.
This recognition is Kohut's healing legacy. Of course for most therapy cases, understanding is very partial, and we are often expected to proffer to our clients certain tentative explanations as early as the first session.
Kohut sees narcissism as a separate line of human development, from primitive or immature narcissism to mature narcissism.
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