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In this discussion of Stern's rich and thoughtful contribution to the dialogue between unified- and multiple-self theories, I refer to his earlier conceptualization of repeated and needed relationships. I thus highlight how his current model strikes me as shifting his emphasis toward identificatory factors, both in development and in clinical process, and away from the working through, or negotiation of, repetitions of relational configurations. Through Stern's clinical examples, I engage dialogue about how his construct of an >intersubjective self< relates to the qualities of multiplicity he accounts for in his theory. And I consider the implications for clinical technique of favoring identificatory influences over the analyst's living through the experience of transference repetitions with the patient and thereby introducing ameliorating responses from within, rather than from a stance more external to, embeddedness in transference–countertransference repetitions.
The author appreciates the careful reading and thoughtful reviews by Sue Elkind, Sam Gerson, and Howard Levine. Elkind's review particularly captures and articulates many of the key ideas in the book Building Bridges: The Negotiation of Paradox in Psychoanalysis and creatively applies concepts of negotiation, paradox, an inherently multiple >distributed self,< and metaphor in her own work consulting on treatment impasses. Gerson incisively focuses on the core idea of recognizing, accepting, and bridging differences and contradictions in personal, and national, perspectives he also articulates an understanding of the attempt of relational analytic writers to bridge the intrapsychic and the interpersonal with due recognition of each. The author replies extensively to Levine's comparison of Pizer's work with that of Semrad and other >classical< analysts and challenges Levine's premise that a relational perspective, grounded as it is in a two-person contextual psychology, ignores or devalues interpretation, insight, free association, and autonomous mental functioning. Quoting from clinical material in his book, Pizer presents the outcome of a >relational< analysis in terms of the patient's increased access to internal >potential space,< unconscious experience, curiosity, and reflectiveness about the mental life of self and other, and an increased ability to value personal experience in relationship and in solitude.