A shift in emphasis: Adolescent psychotherapy and the psychology of the self

The methodology of both psychoanalysis and psychotherapy, which is that of introspection and empathy, is simply not the same as that of chemistry and physics. We are part of the system and we cannot observe without participation. Although this is a fact that we all are quite aware of, usually we treat it as an unfortunate contaminant and this then leads us to try to ignore its theoretical import. Classical psychoanalysis would do away with or minimize it by interpretation; the viewpoint of Kohut would replace it by transmuting internalizations as well as interpretations; but in psychotherapy we have an added task of assessing just how much we must work on the need for the elimination of the functional role of the therapist. To be sure, one must differentiate and clarify the so-called transference reactions related to the incestuous objects of childhood from those directed to self objects. In truth, this is an easier job in analysis, where the focus of the neurosis is enhanced and encouraged. In therapy, such clarity often is lacking or confused. The psychology of the self best allows us to determine how and when we are utilized by our patients, and to test how well they can handle our absence. The major advantage given to us by this perspective is that of being aware of the mirroring and idealizing aspects of self development.Presented as the Judith Baskin Offer Memorial Lecture. From the Institute for Psychosomatic and Psychiatric Research and Training of the Michael Reese Medical Center, Chicago, October 31, 1976.also is in private practice. Received his M.D. from the University of Illinois. Main interest is psychoanalysis.