Chapter 8- Intersubjectivity- Textbook Of Psychoanalysis Flashcards

1
Q

How is an inter subjective approach to psychoanalysis different from traditional approaches to psychoanalysis?

A

In traditional psychoanalysis, the subject object relationship between analyst and patient is one where the analyst and patient serve as subjects in their own state while the other is the object. Traditionally, the analyst as object of the subject patient, helps the patient understand their mind through psychoanalytic interpretation. However, in an inter subjective approach, both the analyst and patient work together through their subjectivity to arrive at an understanding of the patient’s mind.

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2
Q

What are the core neurological structures that create the experience of intersubjectivity and how do they work?

A

Mirror neurons allow an individual to experience and potentially replicate what another is feeling and experiencing. These neurons are the way in which our psychic life can experience something other than what it beholds itself

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3
Q

From birth, what are the innate processes guiding an infant towards?

A

Social reciprocity

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4
Q

How does stolorow describe consciousness and the self?

A

Stolorow believed consciousness is a result of minds in interaction and the result of that consciousness, which is based off many interactions, are what formulate an individuals understanding of self.

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5
Q

What is the pre reflective self?

A

The affective self, prior to any reflective capabilities. They are the feelings that one has, which help them come to an understanding of themselves, without any capacity for reflection of because they occur so early in life.

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6
Q

What is the medium for understanding the intersubjectivity of one’s own mind?

A

It is the articulation between both client and analyst, which moves the spectrum from intrapsychic to inter subjective, thus allowing both participants to come to understand the patient’s unconscious.

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7
Q

How would one describe therapeutic progress and what would the process look like?

A

Therapaeutic process consisted of the patient and analyst both co creating a narrative together regarding the story of that person’s life. The process is akin to someone bring a manuscript to an editor and both working together to refine the story by asking questions, developing considerations and working together through that repetitive process.

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8
Q

Ferenczi was the first analyst to take intersubjectivity seriously. What did he argue in its regards?

A

Ferenczi argued that the initial inter subjective experiences occur for the infant in the presence of parents and caretakers, and it is those figures who rob the ego of its self reflective capacity. The result of this is a limited decision making ability because the ego is split off from one individual and thought to exist in the authoritative other, which makes one subjectively reliant on others for guidance.

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9
Q

What did Ferenczi emphasize when it came to intersubjectivity and what would be the outcomes of that?

A

Ferenczi emphasized that affective states can be created by one person in another, especially when referring to the analytic context. He believed these affective states would emerge according to the unconscious safe or unsafe contexts produced by an individual/analyst, which is where symptoms would emerge from.

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10
Q

Henry Sullivan was also a forerunner in promoting intersubjectivity as a critical phenomenon. What did he describe regarding intersubjectivity?

A

Sullivan mentioned that implicit or explicit information about a person can only be understood through communication with another person. The information one can acquire about another can only be learned through the extent to which one person can communicate to another.

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11
Q

What was Ronald Fairbarn’s stance on intersubjectivity and how did he apply his understanding of it?

A

Fairbarn believed that early subjective experiences were the basis for adult intrapsychic phantasies. He referred to Freud’s work on sexuality as being a source of anxiety, however he described that in infancy if an infant shows excitement and is met with anxiety by the mother, then the infant will associate the 2 together. If excitement is met with excitement, then this period of heightened arousal has a positive association to it.

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12
Q

What were the implications of Fairbarn’s understandings of intersubjectivity regarding excitement?

A

Fairbarn believed that if an infant’s excitement is met with rejection, the infant will then enter into a depressive state, as this is the only means to retain the vital connection for life with the mother. This depressive state originates in a state of anger, which he believes to be the basis for anxiety, depression and distress. As the child gives up their anger state (in order to retain ties with mom), the result is THAT THEY LOSE A PART OF THEIR EMOTIONAL SELF

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13
Q

After learning about Fairbarn’s understanding of the origin of anger, how do you understand your reactions to Bismah’s rejection and your anger that ensues?

A

Feeling rejected by Bismah must parallel the experiences of rejection with my mom, which were a result of her anxiety about my excitement. This is why I’m so reserved on getting excited, and so angry when I am rejected. This anger that I have when I feel rejected needs to be reclaimed back for myself and put into an understandable context in order for me to reintegrate with my affective self.

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14
Q

At it’s core, what is depression?

A

The feeling of ultimate loss when it comes to relating to a mother/primary caretaker

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15
Q

What are of interest did Donald Winnicott explore and how did he put that into the context of the psychoanalytic setting?

A

Winnicott was interested in how well the mother attended to what the infant was showing interest in, and how much she facilitated the infants exploration in that arena (curiosity). He felt that in the psychoanalytic arena, the analyst should allow the patient to use the therapist in the way they’d like. This allows opportunities for the patient’s true self to come out.

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16
Q

How did Bion take Klein’s notion of projective identification and apply it to intersubjectivity?

A

Klein’s theory of projective identification indicates that affective states are unconsciously projected onto other figures. Bion believes that the inter subjective experience between mother and infant consists of the infant communicating to the mother its affective states (beta elements), which reveal its mental experience. The mother, using her alpha function, takes in and metabolizes those experiences, and then proceeds to send them back to the infant for it to metabolize and come to understand through cognitive reflection what is happening in it’s own experience. THIS IS WHY AFFECTIVE CAPACITY OF THE MOTHER IS SO IMPORTANT, IT GOVERNS THE INFANT’S UNDERSTANDING OF REALITY

17
Q

What did Heinz Kohut bring to intersubjectivity and what did he believe was the reason for disruptions in the analytic setting?

A

Kohut believed the therapeautic setting provided the opportunity for the patient to regain excitement and assertiveness, which they had previously been ashamed to express. He believed EMPATHIC FAILURES in relationships occurred when one was not able to authentically interpret what another was expressing and in the analytic context this can be seen in the event where a patient would reject an interpretation offered by the analyst, which would cause a disruption in treatment

18
Q

What do rejections of your interpretations from a client (empathic failures) tell you about one’s history?

A

They identify where in their life they were failed, and these are the instances where one really needs empathy, in order to repair the experiences that have been retained from the past and influence the present. This connection by you, the practitioner, will start to help them better connect with themselves, and come to understand their affective selves

19
Q

How has intersubjectivity affected the approach towards conducting psychoanalysis?

A

It highlighted how necessary a customized interpersonal experience is to help repair one’s psychic wounds.

20
Q

What understanding did the barrangers bring to intersubjectivity, and what is the bastion they describe?

A

The barranger’s brought the understanding of a bipersonal analytical field in which the analyst and patient end up defining each other and the roles the other will play which forms a new psychic structure that continues to evolve through their interaction. This produces its own dynamic, and within it a bastion forms, a new role between patient and analyst that countertransferential and held in secret. Understanding this third member of the intersubjective experience is a critical part of the analytic process.

21
Q

Explain Ogden’s notion of an analytic third

A

Ogden described a subjective third (the inter subjective experience between analyst and analysand) which is created in the analytic relationship. Through the associations the analyst finds in this third, more insight is provided into the unconscious of the analyst and analysand. What is created in this space is a reflection of the dynamic between the 2 people, which offers more insight into the unconscious of the analyst and analysand.

22
Q

What did JEssica Benjamin believe an important outcome of therapy was within intersubjectivity? Why might some not be able to handle other’s subjectivity?

A

She believed the development of a capacity of emotional attunement and tolerance difference would indicate a successful outcome of therapy. Someone may not be able to handle other’s subjectivity becuase their affective experience is too strong, likely stemming from infantile trauma.

23
Q

How did the take of Natterson and Friendman contribute to understanding the intersubjective experience within the clinical setting?

How does this affect you as a coach?

A

N and F highlighted that in order for therapy to have a productive outcome, both analyst and analysand must understand they are co responsible for the outcome of analysis. They believed the analyst should seek to understand beyond the thoughts and ideas in the mind of the patient, and instead identify how the occurring interactions between the 2 may be contributing to the patients thoughts and feelings.

My interacting with the client will govern much of how they engage in the session. The way they behave may not simply be their own history, rather it may that its recreated through our exchanges in the interactions.

24
Q

What role did Fonagy and Target’s concept of mentalization have on the understanding of intersubjectivity?

What is the largest contributor to one’s capacity to mentalization?

How does this affect your interactions with others?

A

Fonagy and Target believed that we come to understand our mind through subjective interpretation of other’s subjective interpretations (mom’s response to baby will govern what baby thinks of self). If healthy mentalization takes place, one can understand themselves and their place in the world accurate to their life events.

The ability of the other’s to help (not just be present) one understand themselves, which is a developmental milestone not all achieve

Given how others speak and articulate will indicate to what extent they have been provided an environment to understand themselves