Mahler’s Theory• Initial state of infant—fusion or symbiosis with mother – Differentiation between self and mother does not exist • Development represents a process of separation- indiv
Trang 1Chapter Nine
Psychosocial Theories
Trang 2Object Relation Theories
• Theories focusing on relations with others
• Primary tasks in life focus on relations with others
• Many theories with some overlap:
– Patterns of relating to others established
in early childhood
– Patterns recur throughout life
Trang 3Mahler’s Theory
• Initial state of infant—fusion or symbiosis with
mother
– Differentiation between self and mother does not exist
• Development represents a process of separation- individuation
– This need is in conflict with the need to be taken care of
– If process goes too fast = separation anxiety
– At age 3, stable representation of mother develops, which is
derived from experiences
– Uses image as lens to view mother in future
– Uses image to generalize to other people
• These patterns form the core of adult patterns of relationships
Trang 4Self Psychology (Kohut)
• Relationships create the structure for the self
• Initial needs involving others (selfobject) are
narcissistic
• Responding to a child’s narcissistic needs in an
empathic accepting way establishes a sense of self
• Initial sense of self is grandiose
• Grandiosity eventually evolves into ambition and self-esteem
• Love illustrates an adult form of mirroring—people
represent selfobjects for each other and demonstrate mutual mirroring
Trang 5Attachment Theory
• Attachment—basic element of human nature involving an emotional connection to others
• Infant attachment
– Carries survival benefits (proximity maintenance)
– Develops as mother (caretaker) responds to infant’s needs and provides a dependable base from which the infant can explore the world and retreat from threat
• Patterns of infant attachment—Strange Situation Test
– Secure attachment—distress at mother’s departure and happy enthusiasm at return
– Insecure attachments:
• Ambivalent—unusually upset at departure; approach, rejection, and anger at return
• Avoidant—calm at departure; avoidance and rejection at return
Trang 6Adult Attachment Patterns
• Idea that working models of relationships developed in childhood carry over into adulthood (Hazan and
Shaver)
– Relationships of Secure people:
• More happy; friendly; trusting; longer lasting
• Mental model of love: It’s real and it stays
– Relationships of Avoidant people:
• Less accepting of lovers’ imperfections
• Mental model of love: Cynical, romantic love doesn’t last
– Relationships of Ambivalent people
• Obsessive; preoccupied; extremes of emotions, sexual attraction, and jealousy; love at first sight
• Mental model of love: Falling in love is easy, but doesn’t last
Trang 7Alternate Conceptualization
of Adult Attachment
• Two dimensional approach
– Self (positive vs negative) / Other (trustworthy vs not trustworthy)
–
Trustworthy Not Trustworthy
Positive Secure
(Secure) Dismissing
Negative Preoccupied
(Ambivalent) Fearful
Other
Self
(Avo idanc e) (Hazan and ShaverLabels)
Trang 8Stability and Specificity
• Stability
– Mixed findings that suggest overall a moderate level of stability across time
– Review of literature suggests a prototype for close
relationships arises in infancy and persists in the face of new experience
– Those who show patterns of change over time may be those who are insecure, but have periods of security
• Specificity
– People demonstrate different patterns for relationships
in different contexts (close friends, groups)
Trang 9Other Implications
of Adult Attachment
• Avoidant:
– Socialize less at work; greater desire to keep busy
– Seek less support during stress; provide less support to stress partners – Less responsive caregiving
– Greater use of distancing coping
• Ambivalent:
– Unhappiness with job recognition and security
– Higher levels of compulsive caregiving
– Higher levels of self-criticism and wishful thinking coping
• Pairings:
– STABLE— Secure – Secure; Avoidant men – Ambivalent women
– UNSTABLE— Ambivalent – Ambivalent; Avoidant – Avoidant;
Ambivalent men – Avoidant women
Trang 10Psychosocial Development
• Developed by Erik Erikson
• Stages from birth to old age (life-span development)
– Each stage characterized by a central conflict around which growth potential and vulnerability are high
• No single stage is more important than another
• Central themes
– Ego identity and its development is critically important
• Develops from transactions with social reality
• Changes in response to events in social environment
– Competency and personal adequacy
• Competency is key motivator of behavior
• Competence results from mastery of a stage
Trang 11Early Psychosocial Stages
• Infancy (Year 1) — Trust vs Mistrust
– Basis for proving the world is predictable and developing the ego
strength of hope
• Early Childhood (Years 2–3) — Autonomy vs
Shame and Doubt
– Basis for feelings of control and competency and developing the
ego strength of will
• Preschool (Years 3–5) — Initiative vs Guilt
– Basis for a sense of power in the world and developing the ego
strength of purpose
• School Age (Years 5–11) — Industry vs Inferiority
– Basis for sense of value, citizenship, and developing the ego
strength of competence
Trang 12• Identity vs Role Confusion (Years
12–20)
– Basis for an integrated sense of private and social self and developing the ego
strength of fidelity
– Role confusion can create difficulties
selecting a career and cause the person
to identify with popular heros and groups
Trang 13Later Psychosocial Stages
• Young Adulthood (20s) — Intimacy vs Isolation
– Basis for close, warm relationships and developing the ego
strength of love
• Adulthood (to 60s) — Generativity vs Stagnation
– Basis for positively influencing the future and developing the ego
strength of care
• Old Age — Ego Identity vs Despair
– Basis for sense of order and meaning in life and developing the
ego strength of wisdom
Trang 14The Epigenetic Principle
• Core issues of each conflict exist simultaneously, but are particularly focal at a given stage
• Implications:
– Outcome of earlier crisis influences
orientation to later one
– Solutions for a crisis, prepare one for
upcoming crises
– Resolutions of previous crises are
reshaped at each new stage
Trang 15Erikson’s Link to Other Psychosocial Theories
• Issues of trust permeate all theories
– Object relation theories imply a sense of trust required for an investment of energy
in others
– Trust is a key issue in secure attachment
Trang 16• Similar to those in ego psychology with a focus on
relationships
• Since childhood experience is seen as an important
determinant of adult behavior, emphasis is on childhood assessment
– Play as a means of assessment allows expression of concerns not possible with words
Trang 17Problems in Behavior
• Problems are rooted in relationship issues
• Narcissism may stem from inadequate childhood mirroring (Kohut)
• Insecure attachment creates risk for depression
Trang 18• Play therapy techniques for children
• Emphasis on role of relationships
• Desire to restore sense of connectedness with others
• Therapist uses role to allow patient to reorganize
problematic parts of self and ways of relating to others