Psychoanalytic self psychology and its conceptual development in light of developmental psychology, attachment theory, and neuroscience.
Abstract
The chapter starts with a historical overview of the subject of narcissism in psychoanalysis. Some sociophilosophical definitions of narcissism are explained and the connection to self psychology is described. It is especially referred to Honneth's Struggle for Recognition, which is related to the need for selfobject experiences. An outline of different concepts concerning narcissism, especially in the European psychoanalytic tradition, follows and leads to a clearer understanding of Kohut's conception of the self and its selfobjects. Because self psychology can often be understood as applied developmental psychology, useful links to attachment research are described and the move to the level of representation by mentalization is clarified. Further development of self psychology in the direction of intersubjectivity helps to supply connections to systems theory. Recently developed theories of empathy with reference to neurobiological findings provide a dynamic perspective of the activation of empathy. Thus, empathy seems to be better understood as a sort of contagion on which cognitive cortical processes are superimposed. Finally, the therapeutic process in psychoanalytic self psychology is portrayed. This process implies a disruption and repair process by which transmuting internalization can take place. More current theories of self psychology view this process in its essence intersubjectively as a co-construction between patient and analyst. The paper concludes with some hints for a paradigm shift in the direction of a more holistic understanding of the self.
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Patients affected by NPD are often considered resistant or even untreatable.
“Experts have different opinions about the best treatment approach, but patients affected by NPD are often considered resistant or even untreatable (62, 63).”
From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [63]
Patients affected by NPD are often considered among the most difficult to be treated.
“Patients affected by narcissistic personality disorder are often considered among the most difficult to be treated (62, 63).”
From The dark side of empathy in narcissistic personality disorder (2023) · cites this paper as [63]
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Pincus, D. (2010) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2010.00134 · Cited by 91 · see citing works
The dark side of empathy in narcissistic personality disorder
di Giacomo, E., Andreini, E., Lorusso, O., & Clerici, M. (2023) · Frontiers in Psychiatry · doi:10.3389/fpsyt.2023.1074558 · Cited by 34 · see citing works
- Authors
- Hartmann, H.
- Corresponding author
- Hartmann, Hans‐Peter
- Venue
- Annals of the New York Academy of Sciences
- Publisher
- Wiley
- Published
- 2009-04
- Volume
- 1159
- Issue
- 1
- Pages
- 86-105
- ISSN
- 0077-8923 (ISSN-L)
- 1749-6632
- OpenAlex
- W1980655915
- Cited by
- 21
- References
- 67
- Citations by year
- 2026: 1 · 2025: 1 · 2023: 1 · 2021: 1 · 2020: 1 · 2019: 2 · 2018: 1 · 2017: 2 · 2016: 2 · 2015: 1 · 2014: 2 · 2013: 1
- FWCI
- 0.23
- Type
- journal article
- Language
- en
- Open access
- closed
- Locations
- Annals of the New York Academy of Sciences (publishedVersion)
- PubMed (publishedVersion)
- Topics
- Social Sciences › Psychology › Clinical Psychology › Psychoanalysis and Psychopathology Research
- Social Sciences › Cultural Studies › Psychoanalysis and Social Critique
- Social Sciences › Psychology › Clinical Psychology › Psychology and Mental Health
- Keywords
- psychoanalytic self psychology, narcissism, Honneth, struggle for recognition, Kohut, attachment theory, mentalization, intersubjectivity, systems theory, empathy, neurobiology of empathy, therapeutic process, holistic self
- MeSH terms
- Humans, Narcissism, Neurosciences, Object Attachment, Personality Development, Psychoanalysis, Psychoanalytic Theory, Self Psychology, History, 20th Century, History, 21st Century
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