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Rethinking Therapeutic Action, Gabbard and Westen (2003)

Evolving Concepts of Therapeutic Action Both Interpretation and Support Both interpretative and supportive interventions can be therapeutic. They reference the Menninger Psychotherapy Research Project, the final report of which was written by Wallerstein (1986). He “examined the treatments of 42 patients and found that supportive strategies resulted in structural changes just as durable as those brought about by interpretive approaches. Calling attention to our own idealization of insight, Wallerstein noted that interpretive and supportive elements are always intertwined, and supportive or relationship aspects of the treatment should not be denigrated.” Shift from Reconstruction to the Here-and-Now Reconstruction has been de-emphasized, “and we spend less of our time digging for buried relics from the patient’s past.” Instead, “much of our focus is on the way the here-and-now interactions between analyst and patient provides insight into the influence of the patient’s past on patterns ...

Neuroscience and Psychoanalysis, Gabbard and Westen

Introduction Drew Westen (1999) writes that recent cognitive science has provided evidence for the the following psychoanalytic propositions: (1) that enduring aspects of personality begin to coalesce in childhood, and that child- hood experiences play an important role in personality development, shaping in particular the ways people form later social relationships; (2) that mental representations of self, others, and relationships guide peo- ple’s interactions with others and play a substantial part in many forms of psychopathology; (3) that mental processes, including affective and motivational processes, operate simultaneously and in parallel, so that individuals can have conflicting feelings toward the same person or situation and can craft compromises outside of awareness; (4) that personality development involves not only learning to regulate sexual and aggressive feelings and wishes, but also moving from an immature dependent state to a mature interdependent on...

Richard Beck on the Nature of Religious Belief: A Summary

Introduction Experimental psychologist Richard Beck has spent much of his career showing that Sigmund Freud’s take on religion was partially, but just partially, correct. To be more specific, Beck has shown that not everyone who embraces religion does so in a subconscious attempt to stave off existential terror. Although most believers might fall under this category, he writes that many believe for non-defensive reasons; that is, many believers “fully recognize [their] existential situation” and “actively refuse to believe as a means to repress existential terror.”[1] Beck’s thesis is important, and I think believers and skeptics alike would do well to understand it. Many believers avoid some of the most important findings of psychology and consequently fail to understand themselves as they should. The end result is often faith that is unreflective and even harmful. Many skeptics, on the other hand, err too far in the other direction, condemning all religious belief as regressive and d...

Terror Management Theory: A Summary

The Theory All mammals, including humans, experience terror when faced with the threat of death. Upon seeing a predator, an animal in the wild enters a state of fight, flight, or freezing. Similarly, if my car begins to spin out of control or if I wake up to discover a suspicious lump, I will have this same response. But unlike other mammals, humans are capable of experiencing this terror even when death is not imminent. I can be young and healthy, but simply contemplating my eventual demise can be enough to fill me with terror (Solomon, Greenberg, & Pyszczynski, 2015, location 208). This can create significant problems. Having this fight-flight-freeze response in the face of an imminent threat is adaptive, but having it in the absence of such a threat can be debilitating, preventing one from carrying out the activities required for healthy, productive living. According to terror management theory (TMT), humans learned to solve this problem by creating cultural worldviews. A cultur...

Ernest Becker: An Introduction

Human Motives, Human Lies Ernest Becker writes that, aside from physical survival, humans are primarily motivated by self-esteem. That is to say, we need to feel good about ourselves, to feel that we’re significant, that we matter and that the world is a better place because we’re in it. As Becker puts it, we need to feel that we’re objects of primary value in a world of meaning (DD 4-7). Now it might seem that we’re actually striving after different things, as some spend their lives seeking fame, others political power, others business success, others religious transcendence, and so on. But these are just different attempts to achieve the same end, assurance that we’re objects of primary value in a world of meaning. Much in life is capable of diminishing this feeling. Other people can easily make us feel that we don’t matter after all, committing violence against us, expropriating our property, sometimes just wounding with their words. When we think about life as a whole, it’s also ea...

“But he loves me…”

“But he loves me…” This is never a good thing to hear. The “he loves me” part is all well and good but never when prefaced with “but.” Here’s what I mean. “He bought me flowers. He loves me.” Oh great, I’m happy for you. See how there’s no reason to add the “but”? It wouldn’t make any sense. “He bought me flowers. But he loves me.” Say what? Now try out this sentence. “He won’t help out around the apartment. But he loves me.” Huh, interesting. Or how about this one? “He cheated on me with my best friend. But he loves me.” Well he really has a funny way of showing it. Early in my twenties I received love advice from a very loud woman named Peggy. Peggy had an opinion about everything, and I certainly didn’t always agree with her, but one day she said something that I found to be profoundly true. “Sex,” Peggy said, “begins in the kitchen.” And no, Peggy wasn’t talking about initiating foreplay on the stovetop. She meant that if you want your partner to desire you, then do the damn dishes...