Psychotherapy As Personal Confession
Psychotherapy As Personal Confession
Psychotherapy As Personal Confession
by
TABLE OF CONTENTS
ABSTRACT..........................................................................
......................iv
INTRODUCTION
..................................................................................
.... 1
Kohut The
Freudian..........................................................................
...........40
The Making of an
Apostate............................................................ ........
...48
Deliteralizing Imaginal
Psychology............................................................96
CLOSING INVOCATION
..................................................................................
................................ 127
.
REFERENCES........................................................................
..................128
ABSTRACT:
PSYCHOTHERAPY AS PERSONAL CONFESSION
The roots of depth psychotherapy in the early work of Freud, Jung, and Adler are
reexamined with particular attention to understanding the eventual collapse of
relations between Freud and Jung not as the outcome of theoretical differences,
but personal ones. The crucial points of Jung’s metapsychology are surveyed with a
view towards discovering how Jung’s theoretical ideas reflected his personal
experience, metaphysical inclinations, and religious faith.
The neo-Freudian Self Psychology of Heinz Kohut is given detailed exposition and
explanation, including a careful scrutiny of its linchpin case study, the Case of
Mr. Z. Through interviews with Kohut’s colleagues and contemporaries, it is shown
that the ideas of self psychology were a distillation of Kohut’s own psychological
organizing principles, that is, a personal confession.
The relationship between metapsychological theory and the practice of clinical
psychotherapy is investigated with attention to the possible advantages and
disadvantages of bringing a firm theoretical stance into the consulting room. A
deliberation of astrology as a theoretical basis for understanding human character
illustrates how commitment to a theory may develop regardless of evidence for the
theory. Some of the presumptions of archetypal psychology are shown to have become
literalized, and its metaphors reified, notwithstanding the very insistence of its
founder, James Hillman, that all is fantasy, and that nothing be understood
literally.
The connections between trans-personal experiences and personal experiences are
explored with particular emphasis on the uncertainty of those connections. It is
argued that such uncertainty implies that only a metapsychology that is understood
to be a personal confession can provide the compassionate matrix necessary for
effective therapeutic work.
INTRODUCTION
In at least two places in his voluminous writings, C.G. Jung stated that any
psychology is a “personal confession” (1935/1980, p. 125, and 1929/1979, p. 336).
But if a psychology is a personal confession, why do so many theories of human
psychology and personality, including some of those called “Jungian,” present
themselves as if they were factual accounts of how the “mind” works, instead of
what, according to Jung, they are: conjectures that reflect the personal
subjectivity of their makers? Recent critics of psychotherapy, such as James
Hillman, who wrote about the fictional quality of case history, and the necessity
of listening to therapeutic dialog as one hears literature, and Robert Stolorow,
who tried to show that the therapeutic situation is always a discourse between two
subjectivities, have attempted to show that attributing facticity to therapeutic
findings is harmful to the patient, to the therapist, and to the culture at large.
Nevertheless, the training of therapists, and the practice of therapy still
continue as if various theoretical representations of intrapsychic “structures”
were not metaphors, or models, but objectively witnessed, universally consistent
phenomena, like some of the findings of hard science. This continues even
irrespective of poststructural attitudes towards the limitations of language, and
the postmodernist deconstruction of truth-claims.
At last count, there were over four hundred systems of psychotherapy (Corsini and
Wedding, 1995) ranging from classical Freudian psychoanalysis to Lowenian
bioenergetics, and from the existential psychotherapy of Rollo May, to the
rebirthing of Stanislaw Grof. Each of those more than four hundred modes of
addressing the human condition therapeutically rests upon a set of psychological
presuppositions, that is upon
a theoretical metapsychology which then implies how therapy should be conducted.
To choose one example, the rational emotive behavior therapy of Ellis (1973) is
predicated upon the cardinal premise that the chief feature of human beings is
their potential to be both rational (self-constructive), and irrational, (self-
defeating). In that conception, neurotic problems are imputed to irrational modes
of thought and behavior. Accordingly, Ellis suggested a psychotherapy directed
towards changing irrational thoughts and behaviors into rational ones, which he
proposed be done by exhortation, cognitive reframing, homework assignments, and
projects of self-discipline. In rational emotive behavior therapy, the
relationship between the therapist and the client is held to be inconsequential;
nothing matters beyond changing irrational thinking and behavior into rational
thinking and behavior. When that work is done, no matter how, according to Ellis,
problems disappear.
Depth psychology would not agree, for the depth perspective moves below the
surface appearances of manifested thoughts and behaviors, and into what Hillman
(1975) called “the unconscious levels of the psyche—that is, the deeper meanings
of the soul” (p. xi). In that panorama, Ellis’ tidy division of rational thought
from irrational thought appears to constitute a distinction without a difference.
From the depth perspective, that is, “from the night side,” as Hillman put it, or
“from the wrong side,” as Guggenbühl-Craig (1995) phrased it, thought itself is
irrational because all thought implicates material from the unconscious levels of
the psyche. In other words, however logical, or self-constructive an idea may
look, ultimately it expresses far more than a simple literal meaning. For every
denotation there are manifold connotations. Any notion, however straightforward it
may appear, contains, enfolded inextricably within itself, complexities,
intimations, latencies, and inferences, which express the soul meanings that were
ancestors to the logical enunciation of the idea, and which then travel with it
forever as soul sisters to its conspicuous, or rational, meaning. For Jung, that
understanding began with his word association experiments which suggested that
even individual words deeply touch the psyche, and came to maturity through
prolonged experience of his own depths, leading Jung (1929/1979, p. 337, and
1935/1980, p. 125) to say that any psychology is a personal confession.
A psychology is a personal confession because the concepts and images of
psychology, willy-nilly, constitute a language of the soul that conveys, or at
least intimates, the deepest personal needs—the soul needs—of its maker, even
beyond the conscious intentions and self-reflective awareness of that person. And
while the concepts and images of one person might usefully stimulate another to
look more deeply into his or her own interiority, ultimately those concepts and
images best serve only their author, since true psychological thinking cannot be
founded upon belief, but only upon experience. For a psychotherapist, it is vital
that this be understood. When it is not understood, psychological ideas are
borrowed from others and used as if they were one-size-fits-all, ultimately
wounding both the patient, and the therapist, not to mention weakening the
community at large, which draws its strength from diversity, not blind conformity.
This is not to say that a therapist ought to avoid exposure to the psychological
theories of others. Following that prescription would be impossible. Training in
psychotherapy is based upon reading treatises, often argued with persuasive
rhetoric, which attempt to express complex metapsychological notions. Frequently,
such works are illuminated by intriguing, dramatic, and sometimes lurid case
histories chosen by their authors as ideal exemplars of their psychological
hypotheses, and painstakingly interpreted to substantiate the value of those same
hypotheses. Besides reading and listening to lectures, comprehensive
psychotherapeutic training, particularly in the depth psychotherapies, often
requires an exhaustive personal psychoanalysis conducted in line with the
psychological conceptions of the analyst. In that emotionally charged setting,
psychological ideas take on a puissance and authority even greater than when they
are read or heard in a classroom. But each item in that impressive onslaught of
ideas must be deconstructed, and none simply accepted as a comprehensive “truth.”
Otherwise all is lost.
How is that crucial work of deconstruction to be accomplished? How can
psychological discourse be moved beyond the bailiwick of science, and into the
realm of literature, as Hillman recommended? How can the practice of psychotherapy
be liberated from the old model of interpretations by an objective analyst met by
the patient’s subjective resistance, and shifted into the domain of relationships
between two subjectivities, as suggested by Stolorow? How does one arrive at
seeing and hearing a patient not so much by way of theory, but in spite of it?
In the dissertation that follows, with a view towards deepening my understanding
of Jung’s assertion that any psychological theory is a personal confession, I will
examine the psychological ideas of Freud, and Jung, the primary psychological
theorists of this century, the ideas of Heinz Kohut, the originator of self
psychology, a major movement in late twentieth century psychotherapeutic practice,
and the ideas of James Hillman, a radical critic of psychotherapy, and passionate
advocate for extending Jung’s ideas beyond the symbolic, into the imaginal.
Chapter I reviews the roots of depth psychotherapy in the early work of Freud,
Jung, and Adler with particular attention to revisioning the eventual collapse of
relations between Freud and Jung not as the outcome of theoretical differences,
but personal ones. The crucial points of Jung’s metapsychology are surveyed with a
view towards discovering how Jung’s theoretical ideas reflected his personal
experience, his metaphysical inclinations, and his religious faith.
In Chapter II, the neo-Freudian Self Psychology of Heinz Kohut is given detailed
exposition and explanation, including a careful scrutiny of its most famous case
study, the Case of Mr. Z. Through interviews with Kohut’s colleagues and
contemporaries, I will show that the ideas of self psychology were a distillation
of Kohut’s own psychological organizing principles, that is, a personal
confession. In particular, I will offer new evidence that Kohut’s
metapsychological model, which he declared to have been based upon two five year
analyses of “Mr. Z,” really was Kohut’s own self-analysis. Since the case of Mr. Z
has been read as a linchpin of Kohut’s theory, this evidence calls into question
Kohut’s professed methods of collecting data as a “factual” basis for a universal
metapsychology, and suggests that systems which claim to treat psychic distress by
using conjectural models of intrapsychic functioning may say more about the world
view of their creators than about psyche in general.
Chapter III investigates the relationship between metapsychological theory and the
practice of clinical psychotherapy. Must a psychotherapist have a theory? What are
the possible advantages and disadvantages of bringing a firm theoretical stance
into the consulting room? How does commitment to a theory develop, and how can
such commitments be recognized and managed? A deliberation of astrology
illustrates how commitment to theory as a basis for understanding human character
may develop even without good evidence for the theory. An examination of the
archetypal psychology of James Hillman shows the strength and subtlety of the
human tendency to literalize metaphors and reify ideas, including Hillman’s,
notwithstanding Hillman’s very insistence that all is fantasy, and that nothing be
understood literally.
Chapter IV explores the correlation between the personal and the apparent trans-
personal, with particular emphasis on the uncertainty, and ambiguity of that
relationship. The paradoxical connection between the conjectural objective reality
suggested by numinous experiences, and the manifest subjectivity of psychological
experience, which seems to remain always equivocal and particular, is discussed
with reference to the ideas of Jung, Hillman, and my own psychotherapeutic
practice. It is argued that the problematic relationship between faith and
knowledge implies that only a metapsychology that is understood to be a personal
confession can provide the compassionate matrix necessary for effective
therapeutic work.
CHAPTER I
FREUD AND JUNG
CHAPTER II
HEINZ KOHUT, AND THE INVENTION OF
PSYCHOANALYTIC SELF PSYCHOLOGY
About twenty-five years ago, the self psychology of Heinz Kohut emerged as a
modification of the Freudian paradigm. Since then, Kohut’s metapsychology has
become widely popular, not only among Freudians, but among depth psychologists of
all stripes. For instance, according to Jungian analyst Lionel Corbett, ”the
Jungian analytic community has been profoundly influenced by theorists of other
schools, of whom Heinz Kohut is currently of particular importance because of
various intriguing points of contact between his writing and that of Jung” (1989,
p. 23). Further, according to Corbett, Kohutian theory is of great practical use
to a Jungian analyst because it provides methods of working even with patients who
do not produce the kind of material that is amenable to Jungian interpretation, or
who are not prepared to hear such interpretations (personal communication,
December, 1995). Object relations theorists also have been influenced by Kohut’s
work, and Kohut’s locution “selfobject” is now a term of art even for those who do
not necessarily practice in the Kohutian manner.
As I will seek to demonstrate in what follows, notwithstanding the wide acceptance
of Kohut’s ideas and the obvious popularity of his therapeutic procedures as a
clinical modality, his metapsychology was not deduced from a global panorama of
human psychology, but clearly was Kohut’s confession of his own pathology, his own
personal organizing principles, and his own endeavors to heal himself. In order
that this be properly understood, it will first be necessary to look at the
Freudian background from which Kohut’s theories arose, and especially to review in
some detail the central
ideas of Kohut’s metapsychology, particularly with reference to Kohut’s most
famous case study, the case of Mr. Z.
CHAPTER III
ON THE RELATIONSHIP BETWEEN PSYCHOTHERAPY
AND METAPSYCHOLOGICAL THEORY
CHAPTER IV
PSYCHOTHERAPY AS PERSONAL CONFESSION
CLOSING INVOCATION
May all our teaching and learning be for the sake of the harmony and peace of all
beings.
May all the work that we do with those who come to us for help be for their
greatest good, whatever that may be.
May we offer whatever we are able to those who come to us for help with no
reservation.
May we never use those who come to us for help for our own purposes.
May we give whatever we give in a generous and selfless spirit.
May we be given the means to increase the peace of mind of all those who come to
us for help.
May we help in their awakening.
May we always be compassionate and kind.
May we never do any harm to another being.
May we help all beings to rest in their True Nature.
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