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 is the first synoptic rendering of Beatrice Beebe’s and Frank Lachmann’s impressive body of work. Therapists unfamiliar with current research findings will find here a comprehensive and up-to-date overview of infant competencies. These competencies give rise to presymbolic representations that are best understood from the standpoint of a systems view of interaction. It is through this conceptual window that the underpinnings of the psychoanalytic situation, especially the ways in which both patient and therapist find and use strategies for preserving and transforming self-organization in a dialogic context, emerge with new clarity. They not only show how their understanding of treatment has evolved, but illustrate this process through detailed descriptions of clinical work with long-term patients. Throughout, they demonstrate how participation in the dyadic interaction reorganizes intrapsychic and relational processes in analyst and patient alike, and in ways both consonant with, and different from, what is observed in adult-infant interactions. Of special note is their creative formulation of the principles of ongoing regulation; disruption and repair; and heightened affective moments. These principles, which describe crucial facets of the basic patterning of self-organization and its transformation in early life, provide clinical leverage for initiating and sustaining a therapeutic process with difficult to reach patients. This book provides a bridge from the phenomenology of self psychological, relational, and intersubjective approaches to a systems theoretical understanding that is consistent with recent developments in psychoanalytic therapy and amenable to further clinical investigation. Both as reference work and teaching tool, as research-grounded theorizing and clinically relevant synthesis, Infant Research and Adult Treatment is destined to be a permanent addition to every thoughtful clinician's bookshelf.
This book has the hard task to cover an interdisciplinary area in which psychoanalysis has to deal with infant research. The development of infant research methodologies is illustrated in the present book by the contribution written by Beatrice Beebe, whose 'journey' leads us through the 'creating' of a discipline with its creators, her traveling companions, such as Daniel Stern, Frank Lachmann, Joseph Jaffe and many others. Trevarthen's chapter is a discussion of his work with T. Berry Brazelton, passed away on March 2018. Brazelton used his trust and enjoyment of innocent company to greet a newborn infant as a friend, and he showed that the baby is read to share friendship with mother and father, giving them joy. Brazelton's belief in innate human nature transformed pediatric care and early diagnosis of developmental disorders, guiding treatment, not 'of' the baby, but 'with' him/her as an individual with unique expressions of vitality. The last two chapters, instead, deal with clinical implications of infant research. Tronick's contribution focuses on mother-infant dyad as well as on analyst-patient one, conceived as open dynamic systems, capable of meaning making, in which coherence is at best imperfect, and coordination alternates with mismatching. In open dynamic systems messiness itself is inherent to the process of meaning making because of limitations in their capacity, their different time scales, the many polymorphs of meaning that have to be integrated, and because of the many kinds of meaning making processes (including affective, cognitive, memorial, linguistic, bodily and psychodynamic meaning making processes, such as a dynamic unconscious, projective identification and transference). Dyadic states of consciousness Tronick writes in the chapter are joint creations and, as such, bring together the messy, unpredictable and inchoate features of two individuals' state of consciousness, not just the messiness of one. But meaning meaning processes and security making ones, though normally overlapping each other, are not the same, and this heterogeneity between motivational systems (Lichtenberg et al., 2011) can cover the heterogeneity of psychopathological conditions. Lyons-Ruth and colleagues' chapter is focused on the representational world of the mother, particularly on the assessment of mother's representation of role-confusion in her relation with her child. The authors call attention to the dimension of sexualisation in the relationship, a high indicator of role-confusion. This emerging body of work points to the importance of being alert to indicators of role-confusion in the clinical setting. The findings can inform and enrich counselling and psychology practice by familiarizing clinicians with how to listen for indicators of role-confusion while talking with parents about their relationship with the child.
As Bowlby himself points out in his introduction to this seminal childcare book, to be a successful parent means a lot of very hard work. Giving time and attention to children means sacrificing other interests and activities, but for many people today these are unwelcome truths. Bowlby’s work showed that the early interactions between infant and caregiver have a profound impact on an infant's social, emotional, and intellectual growth. Controversial yet powerfully influential to this day, this classic collection of Bowlby’s lectures offers important guidelines for child rearing based on the crucial role of early relationships.
With new discussions by Theodore Jacobs and Regina Pally Adult psychoanalysis has approached the study of intersubjectivity by concentrating primarily on the verbal dialogue, an explicit mode of communication. Infant research, on the other hand, focuses on nonverbal communication and implicit modes of action sequences, operating largely out of awareness, such as interactions of gaze, facial expression, and body rhythms. This book proposes that an integration of these two approaches is essential to a deeper understanding of the therapeutic action. The authors use a dyadic systems model of self- and interactive regulation as a lens for comparing diverse theories of intersubjectivity, both in adults and infants. Building on the definition of intersubjectivity in infancy as correspondence and matching of expressions, the authors offer an expanded view of the presymbolic origins of intersubjectivity. They address the place of interactive regulation, problems with the concept of matching, the roles of self-regulation and of difference, and the balance of self- and interactive regulation. An adult treatment of early trauma is described through detailed clinical case material illustrating both the verbal narrative and the implicit "action dialogue" operating largely outside of awareness. This book includes new discussions by Theodore Jacobs, arguing that nonverbal communication is vitally important to psychoanalysis, and by Regina Pally, arguing that aspects of this book have parallels in neuroscience.
First published in 1984. The authors’ basic aim in this volume has been to set forth a certain perspective on psychological phenomena and to show how this perspective enables one to order and integrate data on symbolization and language behavior—data obtained by a variety of methods and garnered from domains that are too often treated in isolation from each other.
The group of papers presented in this volume represents ten years of involvement of a group of eight core therapists, working originally with approximately forty families who suffered the loss of husbands and fathers on September 11, 2001. The project focuses on the families of women who were pregnant and widowed in the disaster, or of women who were widowed with an infant born in the previous year. This book maps the support and services provided without cost to the families by the primary prevention project – the 'September 11, 2001 Mothers, Infants and Young Children Project' – organised by a highly trained group of therapists specialising in adult, child, mother-infant and family treatment, as well as in nonverbal communication. The demands of the crisis led these therapists to expand on their psychoanalytic training, fostering new approaches to meeting the needs of these families. They sought out these families, offering support groups for mothers and their infants and young children in the mothers’ own neighbourhoods. They also brought the families to mother-child videotaped play sessions at the New York State Psychiatric Institute at Columbia University, followed by video feedback and consultation sessions. In 2011, marking the 10th anniversary of the World Trade Center tragedy, the Project continues to provide services without cost for these mothers who lost their husbands, for their infants who are now approximately ten years old, and for the siblings of these children. This book was originally published as a special issue of the Journal of Infant, Child, and Adolescent Psychotherapy.
Parenting and Childhood Memories is a collection of stories about the ways in which parents’ childhood memories influence their current interactions with their babies and young children: the ghosts and magic of our minds. This book explores the underlying meanings of parents’ memories that emerge in their perceptions of their children and their responses to the challenges of early development and the everyday life stresses of parenting. Drawing on extensive material originating in mother-child groups and parent consultations, the author demonstrates that parents’ emotional growth and ability to nurture their young children's emotional health is promoted by uncovering the links between the past and the present and unearthing the underlying meanings of seemingly inexplicable behavior. This original book, grounded in long-established psychoanalytic ideas, is about moments in early development and parent-child interaction that tell this story. Offering useful insights, readers will be intrigued by the details of the therapeutic process described and be inspired by the outcomes. This book will appeal to psychoanalysts, therapists, mental health professionals, and parents.
With his stunning debut novel, She's Come Undone, Wally Lamb won the adulation of critics and readers with his mesmerizing tale of one woman's painful yet triumphant journey of self-discovery. Now, this brilliantly talented writer returns with I Know This Much Is True, a heartbreaking and poignant multigenerational saga of the reproductive bonds of destruction and the powerful force of forgiveness. A masterpiece that breathtakingly tells a story of alienation and connection, power and abuse, devastation and renewal--this novel is a contemporary retelling of an ancient Hindu myth. A proud king must confront his demons to achieve salvation. Change yourself, the myth instructs, and you will inhabit a renovated world. When you're the same brother of a schizophrenic identical twin, the tricky thing about saving yourself is the blood it leaves on your bands--the little inconvenience of the look-alike corpse at your feet. And if you're into both survival of the fittest and being your brother's keeper--if you've promised your dying mother--then say so long to sleep and hello to the middle of the night. Grab a book or a beer. Get used to Letterman's gap-toothed smile of the absurd, or the view of the bedroom ceiling, or the influence of random selection. Take it from a godless insomniac. Take it from the uncrazy twin--the guy who beat the biochemical rap. Dominick Birdsey's entire life has been compromised and constricted by anger and fear, by the paranoid schizophrenic twin brother he both deeply loves and resents, and by the past they shared with their adoptive father, Ray, a spit-and-polish ex-Navy man (the five-foot-six-inch sleeping giant who snoozed upstairs weekdays in the spare room and built submarines at night), and their long-suffering mother, Concettina, a timid woman with a harelip that made her shy and self-conscious: She holds a loose fist to her face to cover her defective mouth--her perpetual apology to the world for a birth defect over which she'd had no control. Born in the waning moments of 1949 and the opening minutes of 1950, the twins are physical mirror images who grow into separate yet connected entities: the seemingly strong and protective yet fearful Dominick, his mother's watchful "monkey"; and the seemingly weak and sweet yet noble Thomas, his mother's gentle "bunny." From childhood, Dominick fights for both separation and wholeness--and ultimately self-protection--in a house of fear dominated by Ray, a bully who abuses his power over these stepsons whose biological father is a mystery. I was still afraid of his anger but saw how he punished weakness--pounced on it. Out of self-preservation I hid my fear, Dominick confesses. As for Thomas, he just never knew how to play defense. He just didn't get it. But Dominick's talent for survival comes at an enormous cost, including the breakup of his marriage to the warm, beautiful Dessa, whom he still loves. And it will be put to the ultimate test when Thomas, a Bible-spouting zealot, commits an unthinkable act that threatens the tenuous balance of both his and Dominick's lives. To save himself, Dominick must confront not only the pain of his past but the dark secrets he has locked deep within himself, and the sins of his ancestors--a quest that will lead him beyond the confines of his blue-collar New England town to the volcanic foothills of Sicily 's Mount Etna, where his ambitious and vengefully proud grandfather and a namesake Domenico Tempesta, the sostegno del famiglia, was born. Each of the stories Ma told us about Papa reinforced the message that he was the boss, that he ruled the roost, that what he said went. Searching for answers, Dominick turns to the whispers of the dead, to the pages of his grandfather's handwritten memoir, The History of Domenico Onofrio Tempesta, a Great Man from Humble Beginnings. Rendered with touches of magic realism, Domenico's fablelike tale--in which monkeys enchant and religious statues weep--becomes the old man's confession--an unwitting legacy of contrition that reveals the truth's of Domenico's life, Dominick learns that power, wrongly used, defeats the oppressor as well as the oppressed, and now, picking through the humble shards of his deconstructed life, he will search for the courage and love to forgive, to expiate his and his ancestors' transgressions, and finally to rebuild himself beyond the haunted shadow of his twin. Set against the vivid panoply of twentieth-century America and filled with richly drawn, memorable characters, this deeply moving and thoroughly satisfying novel brings to light humanity's deepest needs and fears, our aloneness, our desire for love and acceptance, our struggle to survive at all costs. Joyous, mystical, and exquisitely written, I Know This Much Is True is an extraordinary reading experience that will leave no reader untouched.