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This study presents an overview of the development of the main psychoanalytic conceptions regarding safety, an aspect that has received increasing attention within the psychoanalytic literature. After describing the hypotheses of Sigmund Freud, Joseph Sandler, John Bowlby, and Harry Stack Sullivan, the study focuses on the ideas proposed by Joseph Weiss and on control-mastery theory (CMT), a cognitive-dynamic relational theory of mental functioning, psychopathology, and psychotherapy. Unlike other models, CMT stresses that human beings need to feel that both themselves and the people they love are safe; each person, however, may need something different to feel safe. Two clinical vignettes are used to illustrate how the therapist can understand, from the outset of the therapeutic process, how to help the patient feel safe, stressing the case-specific nature of the conditions of safety.
This chapter introduces a psychosocial strand of thinking that offers a way to conceive of creative relations between the psyche and the world. Whereas much current psychosocial theory stresses how anxieties are managed by defending the self against the world or fuel subjection to oppressive social norms, the theories we engage with here point to ways in which anxieties can be employed in the urge to bridge inner longings and external realities. These ideas took form in the early Frankfurt School, which despite their comprehensive integration of psychoanalytic and social theory until recently has been comparatively marginalized in Anglophone Psychosocial Theory.– The chapter presents and discusses three notions: Erich Fromm’s Freedom, Hans Loewald’s Resonance, and Alfred Lorenzer’s Interaction. Even though different in emphasis and outlook, these notions contribute to a shared intellectual project, namely, to point to potentially productive and non-antagonist interactions between the psyche and society. They do so not by virtue of some resistant part of unspoiled nature residing in the body or in the mind, but by virtue of being able to point to the more or less life-enhancing and life-impeding forms this interaction of psychic energies and societal needs may take.– We argue that these theorists and their notions of freedom, resonance and interaction, contribute to further developing the materialist conception of the psychosocial in ways that appear specifically urgent today. They enable us to theorize tensions within current society, between dynamics that drive instrumentalization and reification on the one hand, and more life-enhancing and mutually enriching interactions between human beings, social structures, and natural environments on the other.
On Fromm's Virtue Ethics
(2023)
Fromm’s ethics can be viewed as a form of virtue ethics, which emphasizes the importance of developing one’s true self and reducing one's false self. By doing so, one can change their psychological state in terms of character and psychological tendencies, leading to an improved moral life and higher moral standards. While some criticisms have been raised about virtue theory, including its perceived inability to guide one on how to act properly, Fromm's virtue ethics is unique in that it does not focus on establishing universal rules for specific actions. Instead, it seeks to establish universal laws for human behavioural tendencies or trends. Through his unique social psychology, Fromm provides an in-depth analysis of the inner world of man, which can serve as a valuable guide to the general direction of human development and freedom. In addition, Fromm’s virtue ethics also highlights the importance of social relationships and the impact they have on our moral development. He argues that our relationships with others can have a profound effect on our psychological state and our ability to live virtuously. Overall, Fromm’s virtue ethics provides a unique perspective on human development and morality. By focusing on the development of one’s true self and the importance of social relationships, his approach offers a valuable guide to living a fulfilling and virtuous life.
The aim of this paper is to give the reader an overview of several theoretical, empirical, and clinical features of survivor guilt, and to integrate recent contributions of psychodynamic theory and, in particular, of control-mastery theory into the understanding of the concept alongside the latest findings in social psychology about it. After introducing the concept of survivor guilt and its origins in clinical observations on the consequences of having survived severe traumas (e.g., internment in concentration camps), we will discuss the findings in social psychology on the concept of survivor guilt in everyday social interactions, which is based on a conception that does not connect it strictly to severe traumas. We will then focus our attention on clinical observations and empirical research studies about survivor guilt, discussing the hypotheses developed by several control-mastery theorists about its role in psychopathology. Finally, we will illustrate some manifestations of survivor guilt with a brief clinical vignette.
Some people diagnosed with schizophrenia show an alteration of the sense of self. From a psychodynamic perspective, it has been hypothesized they have disorders of the integration of self/other identification/differentiation processes. From a neuroscientific view some with this diagnosis present dysfunctions in neural correlates of representation of self from other (the implicit sensorimotor-based bodily self), and self united with other. In >Sense of self and psychosis, part 1< we discussed scientific literature offering empirical evidence for the psychodynamic clinical observations that patients with diagnoses of psychoses didn’t receive adequate early infancy parental care and sufficient affective-sensorial/tactile interactions. Introducing parental care/cutaneous interactions seemed relevant in the analytic treatment of psychoses, as the pioneers of the psychoanalytic approach to psychosis suggested. From this theoretical basis we developed amniotic therapy, which reproduces the affective-tactile interactions of early infancy, insufficient in cases of psychosis, and aims at integrating the processes of differentiation and identification. We present a single case study of an experimental intervention plan including amniotic therapy. Results showed increases in interoception and global functioning, with significant decreases in positive symptoms suggesting that amniotic therapy contributes to increasing the protective strength of self-boundaries and integration of identification/differentiation processes.
We will describe in two articles (>Sense of self and psychosis<, 1 and 2) the theoretical basis and the methodology of a new therapeutic group approach called amniotic therapy, which aims to improve the sense of self of psychotic patients. In this first article we explore the role of the surface of the body and its early sensorimotor interactions in the processes of self/other identification and differentiation. We propose that these processes have common origins, the body surface and its interactions, but different destinies, depending on where the body’s surface is projected. When it is projected intrapsychically we have differentiation, and when it is projected externally onto the body’s surface of the other, we have identification. Identification is a reciprocal process, in which the self’s and the other’s surfaces mutually contain each other and co-create a shared field. The neural correlates of identification and differentiation are discussed. The second article, which follows, describes amniotic therapy and explores a single case study.
Theoretical conceptualizations of mentalizing postulate a close relationship between the ability to mentalize and the regulation of emotional states. The former is viewed as a key process to modulate the latter, with the origins of the link between the two established in early attachment relationships. However, there is a lack of research testing this association empirically. In the present cross-sectional study, the hypothesis of a positive relationship between the two constructs was tested based on data collected on more than 500 nonclinical adult participants. Various self-assessments and an experimentally derived instrument of mentalizing were employed to this end. Correlational analyses confirmed the expected associations between emotion regulation and mentalizing. In addition, regression models showed that adaptive as well as maladaptive emotion regulation, independent of age, gender, and native language, could be predicted only by self-focused mentalizing.
Today it is still necessary and useful to deal with the empirical foundations and cultural dimensions of a discipline such as psychoanalysis that has played a vital role in shaping the contemporary world, on both sociocultural and clinical levels. This study aimed to describe and summarize the perspectives of experienced psychoanalysts on important aspects of psychoanalysis today. Semi-structured interviews were conducted with 62 psychoanalysts. The interview data were processed using a theory-informed thematic analysis. There were 12 macro-themes: important aspects of psychoanalysis, important authors in psychoanalysis today, >contemporary psychoanalysis,< the proliferation of psychoanalytic >schools,< psychoanalytic identity and psychotherapy, psychoanalytic training, the Oedipus complex, dreams, the relationship between psychoanalytic theory and outcome and process research, the relationship between psychoanalysis and research in the neurosciences, empirically validated psychoanalytic concepts, and the marginalization of psychoanalysis. Our study revealed the image of a pluralistic psychoanalysis that the participants interviewed show they have, with various schools/definitions/sources, where Freud and the classical model are contested by numerous other approaches.