This volume illuminates the continuing tension between Kohut's emphasis on the patient's subjective experience and the post-Kohutian intersubjectivists' concern with the therapist's own subjectivity by focusing on issues of therapeutic posture and degree of therapist activity. Teicholz provides an integrative context for examining this tension by discussing affect as the common deminator underlying the analyst's empathy, subjectivity, and authenticity. Responses to the tension encompass the stance of intersubjective contextualism (Sucharov), advocacy of active responsiveness (Livingston), and emphasis on the thorough-going bi-directionality of the analytic endeavor (Preston and Shumsky). Balancing these perspectives are a reprise on Kohut's concept of prolonged empathic immersion (Merlmelstein) and a recasting of the issue of closeness and distance in the analytic relationship in terms of analysis of the tie to the negative selfobject (Gehrie). Additional clinical contributions examine severe bulimia (Gorney) and suicidal rage (Hartmann and Milch) as attempts at self-state regulation and address the self-reparative functions that inhere in the act of dreaming (Fisch). Like previous volumes in the series, volume 16 demonstrates the applicability of self psychology to nanalytic treatment modalities and clinical populations. Here, self psychology is brought to bear on psychotherapy with placed children (Silin), on work with adults with nverbal learning disabilities (Palombo) and on brief therapy (Gardner). Rector's examination of twinship and religious experience, Hagman's elucidation of the creative process, and Siegel and Topel's experiment with supervision via the Internet exemplify the ever-expanding explanatory range of self-psychological insights.
Arnold Goldberg, M.D., is the Cynthia Oudejan Harris, M.D. Professor, Department of Psychiatry, Rush Medical College in Chicago, and Training and Supervising Analyst, Institute for Psychoanalysis, Chicago. He is the author of a number of books, including Being of Two Minds: The Vertical Split in Psychoanalysis (TAP, 1999) and Errant Selves: A Casebook of Misbehavior (TAP, 2000).