Frank M. Lachmann

Beatrice Beebe

The Origins of Attachment: Infant Research and Adult Treatment addresses the origins of attachment in mother-infant face-to-face communication. New patterns of relational disturbance in infancy are described. These aspects of communication are out of conscious awareness. They provide clinicians with new ways of thinking about infancy, and about nonverbal communication in adult treatment. Utilizing an extraordinarily detailed microanalysis of videotaped mother-infant interactions at 4 months, Beatrice Beebe, Frank Lachmann, and their research collaborators provide a more fine-grained and precise description of the process of attachment transmission. Second-by-second microanalysis operates like a social microscope and reveals more than can be grasped with the naked eye. The book explores how, alongside linguistic content, the bodily aspect of communication is an essential component of the capacity to communicate and understand emotion. The moment-to-moment self- and interactive processes of relatedness documented in infant research form the bedrock of adult face-to-face communication and provide the background fabric for the verbal narrative in the foreground. The Origins of Attachment is illustrated throughout with several case vignettes of adult treatment. Discussions by Carolyn Clement, Malcolm Slavin and E. Joyce Klein, Estelle Shane, Alexandra Harrison and Stephen Seligman show how the research can be used by practicing clinicians. This book details aspects of bodily communication between mothers and infants that will provide useful analogies for therapists of adults. It will be essential reading for psychoanalysts, psychotherapists and graduate students. Collaborators Joseph Jaffe, Sara Markese, Karen A. Buck, Henian Chen, Patricia Cohen, Lorraine Bahrick, Howard Andrews, Stanley Feldstein Discussants Carolyn Clement, Malcolm Slavin, E. Joyce Klein, Estelle Shane, Alexandra Harrison, Stephen Seligman

Infant Research and Adult Treatment

The Origins of Attachment

Using Kohut's seminal paper "Forms and Transformations of Narcissism" as a springboard, Frank Lachmann updates Kohut's proposals for contemporary clinicians. Transforming Narcissism: Reflections on Empathy, Humor, and Expectations draws on a wide range of contributions from empirical infant research, psychoanalytic and psychotherapeutic practice, social psychology, and autobiographies of creative artists to expand and modify Kohut's proposition that archaic narcissism is transformed in the course of development or through treatment into empathy, humor, creativity, an acceptance of transience and wisdom. He asserts that empathy, humor, and creativity are not the goals or end products of transformations, but are an intrinsic part of the ongoing therapist-patient dialogue throughout treatment. The transformative process is bidirectional, impacting both patient and therapist, and their affect undergoes transformation - for example from detached to intimate - and narcissism or self-states are transformed secondarily as a consequence of the affective interactions. Meeting or violating expectations of emotional responsivity provides a major pathway for transformation of affect. For beginning therapists, Transforming Narcissism presents an engaging approach to treatment that incorporates the therapeutic action of these transformations, but also leaves room for therapists to develop styles of their own. For more experienced therapists, it fills a conceptual and clinical gap, provides a scaffold for crucial aspects of treatment that are often unacknowledged (because they are not "analytic"), or are dismissed and pejoratively labeled "countertransference." Most importantly, Lachmann offers a balance between therapeutic spontaneity and professional constraint. Focused and engaging, Transforming Narcissism provides a bridge from self psychology to a rainbow of relational approaches that beginning and seasoned therapists can profitably traverse in either direction. Dr. Lachmann contributed to an article on empathy in the April, 2008 issue of O magazine, pp. 230.

Reflections on Empathy, Humor, and Expectations

Transforming Narcissism

James L. Fosshage

Joseph D. Lichtenberg

Narrative and Meaning examines the role of both in contemporary psychoanalytic practice, bringing together a distinguished group of contributors from across the intersubjective, relational, and interpersonal schools of psychoanalytic thought. The contributions propose that narratives or stories in a variety of non-verbal and verbal forms are the foundation of mind, creativity, and the clinical dialogue. From the beginning of life, human experience gains expression through the integration of perception, cognition, memory and affect into mini or complex narratives. This core proposal is illustrated in chapters referencing creativity, psychoanalytic process, gesture, and sensory-motor activity, dreams, music, conflicting narratives in couples, imaginative stories of adopted children, identity, and individuality. Including a major revision in theory based upon an expanded definition of narrative, this book is an essential read for any contemporary psychoanalyst wishing to use narrative in their practice. Featuring essential theory and a wealth of practical clinical material, Narrative and Meaning will appeal greatly to both psychoanalysts and psychoanalytic psychotherapists.

The Foundation of Mind, Creativity, and the Psychoanalytic Dialogue

Narrative and Meaning

In psychoanalysis, enlivenment is seen as residing in a sense of self, and this sense of self is drawn from and shaped by lived experience. Enlivening the Self: The First Year, Clinical Enrichment, and the Wandering Mind describes the vitalizing and enrichment of self-experience throughout the life cycle and shows how active experience draws on many fundamental functional capacities, and these capacities come together in support of systems of motivation; that is, organized dynamic grouping of affects, intentions, and goals. The book is divided into three essays: Infancy – Joseph Lichtenberg presents extensive reviews of observation and research on the first year of life. Based on these reviews, he delineates twelve foundational qualities and capacities of the self as a doer doing, initiating and responding, activating and taking in. Exploratory therapy – James L. Fosshage looks where therapeutic change is entwined with development. There are many sources illustrated for enhancing the sense of self, and Frank M. Lachmann pays particular attention to humor and to the role that the twelve qualities and capacities play in the therapeutic process. The wandering mind – Frank M. Lachmann covers the neuroscience and observation that "mind wandering" is related to the immediacy of the sense of self linking now with past and future. Throughout the book the authors’ arguments are illustrated with rich clinical vignettes and suggestions for clinical practice. This title will be a must for psychoanalysts, including trainees in psychoanalysis, psychiatry residents and candidates at psychoanalytic institutes and also graduate students in clinical and counselling psychology programs.

The First Year, Clinical Enrichment, and The Wandering Mind

Enlivening the Self

Thoroughly grounded in contemporary developmental research, A Spirit of Inquiry: Communication in Psychoanalysis explores the ecological niche of the infant-caregiver dyad and examines the evolutionary leap that permits communication to take place concurrently in verbal an nonverbal modes. Via the uniquely human capacity for speech, the authors hold, intercommunication deepens into a continuous process of listening to, sensing into, and deciphering motivation-driven messages. The analytic exchange is unique owing to a broad communicative repertoire that encompasses all the permutations of day-to-day exchanges. It is the spirit of inquiry that endows such communicative moments with an overarching sense of purpose and thereby permits analysis to become an intimate relationship decisively unlike any other. In elucidating the special character of this relationship, the authors refine their understanding of motivational systems theory by showing how exploration, previously conceptualized as a discrete motivational system, simultaneously infuses all the motivational systems with an integrative dynamic that tends to a cohesive sense of self. Of equal note is their discerning use of contemporary attachment reseach, which provides convincing evidence of the link between crucial relationships and communication. Replete with detailed case studies that illustrate both the context and nature of specific analytic inquiries, A Spirit of Inquiry presents a novel perspective, sustained by empirical research, for integrating the various communicative modalities that arise in any psychoanalytic treatment. The result is a deepened understanding of subjectivity and intersubjectivity in analytic relationships. Indeed, the book is a compelling brief for the claim that subjectivity and intersubjectivity, in their full complexity, can only be understood through clinically relevant and scientifically credible theories of motivation and communication.

Frank M. Lachmann

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