Which defense mechanism aids children's resolution of the oedipus and electra complexes?

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Learning Objectives

After reading this chapter, you should be able to:

• Identify Sigmund Freud as the father of psychoanalysis, and explain the significance of the discovery of the unconscious.

• Define the three intrapsychic components of id, ego, superego, and explain how Freud thought they operated.

• Explain Freud’s levels of consciousness and his theories regarding instincts and defense mechanisms.

• Identify and explain the psychosexual stages of development.

• Describe some of the research that supports and refutes psychoanalytic theory.

• Identify key contributions to psychoanalytic theory offered by Carl Jung, Alfred Adler, Karen Horney, and Anna Freud.

• List and describe the psychodynamic methods of assessment.

Psychoanalytic and Neo-Analytic Theories of Personality 2

Chapter Outline Introduction

2.1 Biography and Sociocultural Setting of Freud and His Early Work

2.2 Psychoanalytic Theory • The Fundamentals • The Three Central Tenets of Psychoanalytic

Theory • The Basic Instincts: Sex and Aggression

2.3 The Structural Components of Personality • Topography of the Mind • Structural Components of the Mind • Anxiety • Defense Mechanisms • Neurosis and Symptom Formation

2.4 Stages of Psychosexual Development • Oral Stage • Anal Stage • Phallic Stage • Latency Stage • Genital Stage • Character Traits and Disorders in Psycho-

sexual Development • Critique and Conclusions on Freud’s Theo-

retical Contributions

2.5 The Neo-Analytic Movement • Carl Jung and the Collective Unconscious • Alfred Adler and Inferiority Complex • Anna Freud and Child Psychology • Karen Horney and Repressed Womanhood

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CHAPTER 2

Introduction In October of 1998, 21-year-old Matthew Wayne Shepard, a student at the Univer- sity of Wyoming, was tortured one night by two young men and subsequently died of the severe head injuries he sustained. This case garnered national attention when, during the trial, it became apparent that Matthew was targeted because he was gay. Sadly, this is just one of the many hate crimes that continue to take place on a daily basis across the country and around the world.

Of course, not all anti-gay behavior manifests as physical violence. In 2009, Mag- nolia Pictures released the documentary Outrage, which targets political fig- ures who have an aggressive anti-gay voting record (e.g., against gay marriage, against adoptions by gay parents, against HIV research, etc.), but who, accord- ing to the filmmaker, have secret lives involving gay relationships. The film raises the possibility that the underlying motivation for the aggressive anti-gay voting records is to express a self-hatred that is turned outward against others.

Examples in the public sphere of such counter-intuitive behaviors are not rare. Evangelical pastor Ted Haggard, who founded and led a megachurch in Colorado Springs, CO, preached and threw his political support behind a Colorado amend- ment that would ban gay marriage. However, in 2006, Mr. Haggard resigned from his leadership positions after it became widely known that he had been involved in a gay relationship with a male massage therapist. Additional information sur- faced to indicate that this was not a one-time event with a single individual, but rather a broader pattern of behavior that Mr. Haggard ultimately acknowledged and attributed to a childhood experience of sexual abuse. In another example, former U.S. Congressman Mark Foley was active in helping to pass laws against the sexual abuse of minors and was a strong opponent of child pornography. Yet, in 2006, he resigned from Congress after allegations emerged that he had sent sexually explicit text messages to underage males who either had served or were currently serving as male congressional pages.

It is important to note that all of us engage in counter-intuitive behavior at times, where our motives are hard to discern. (Fortunately, we are not scrutinized in the same way as public figures.) What can explain such behavior? Why not simply

Introduction

2.6 Psychodynamic Methods of Assessment • The Technique of Psychoanalysis • The Technique of Free Association • The Technique of Dream Analysis • The Word Association Task • The Rorschach Inkblot Test • The Thematic Apperception Test

Summary

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CHAPTER 2 2.1 Biography and Sociocultural Setting of Freud and His Early Work

steer clear of such issues, rather than publically and vociferously acting in a man- ner that opposes private behavior and underlying motivation?

This chapter provides a close examination of the psychoanalytic theory that can be applied to such actions and, in fact, seems to be most applicable to these appar- ent contradictions. It provides an overview of psychoanalytic theory and identi- fies the major theoretical contributions. It introduces Sigmund Freud and some of the pioneering psychoanalytic theorists and clinicians who have shaped the field. Most importantly, this chapter identifies a series of research questions derived from psychoanalytic theory, and explores some primary research that attempts to answer those questions—for example, is there an unconscious and can it influence our behavior without our awareness? We begin with an introduction to Freud and the context within which his theory was developed.

2.1 Biography and Sociocultural Setting of Freud and His Early Work

Cultural and historical influences have much to do with a person’s way of thinking. It is impor-tant, therefore, to place Freud’s work in the context of the time in which he developed his groundbreaking work. Sigmund Freud was born in Freiburg, Moravia, on May 6, 1856, the oldest of seven children. Freud was raised in the Victorian era, a time when dignity and restraint were valued. He grew up in a culture where sexual expression, especially among the bourgeoisie (middle class), was very restricted, especially in terms of what was publicly acceptable. Freud, growing up, did not experi- ence open discussion or even recognition of human sexual expression (Gay, 1988).

He entered medical school at the University of Vienna in 1873 and was awarded his medical degree in 1881. His first position was at the Institute of Cerebral Anatomy, where he conducted research comparing fetal and adult brains. He entered private practice as a neurologist because of the limited financial rewards of research and an anti-Semitic attitude (Freud was Jewish) that was prevalent in academia. He was strongly influenced by his studies with Jean Charcot, a well- known therapist who specialized in treating hysteria with hypnosis. Hysteria, a condition in which affected individuals convert their inner conflicts to physical symptoms, which are sometimes quite crippling, was considered a major disorder at that time. Freud was inspired, as were many others, by Charcot’s dramatic clinical demonstrations, and his interest in neurology quickly gave way to his new passion for psychopathology and the study of hysteria. (Note: Psychopathology is the clinical and scientific study of the disturbed mind. Psyche refers to the mind and pathology means illness.)

Freud was also influenced by Josef Breuer, who he met at the Institute of Physiology in the 1870s, and they became close friends and scientific collaborators. Breuer was an Austrian physi- cian whose works had begun to lay the foundation for psychoanalysis. As Schwartz (1999) notes, “Inspired by Charcot and impressed by Breuer’s results, on his return to Vienna from Paris in 1886 Freud actively collaborated with Joseph Breuer on the problem of hysteria” (p. 44).

Freud spent much of the earlier part of his career on the subject of hysteria. Between 1894 and 1896, Freud presented seven papers on the origins of hysteria as the result of sexual trauma

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CHAPTER 2 2.1 Biography and Sociocultural Setting of Freud and His Early Work

(he called this trauma theory). “Freud described severe cases, some coming to him after long unsuccessful institutional treatment, all of whom suffered trauma which had to be ‘classed as grave sexual injuries; some of them positively revolting’ ” (Schwartz, 1999, p. 66). Freud’s decision to relate hysteria to sexual trauma likely had its roots in the early work of Egyptian physicians and Greek philosophers, who each believed that symptoms of hysteria were due to improper position- ing of the uterus. Interestingly, the treatment for this supposed misalignment involved fumigating the vagina (Alexander & Selesnik, 1966).

The patients that he treated, first with hypnosis and then with psychoanalysis, showed the effects of repressive Victorian society in their own repression of urges. Repression is a psychological defense mechanism that is used to keep painful experiences and unacceptable impulses out of conscious awareness. What Freud observed and taught about repression was not entirely novel. However, Freud systematically studied how repressive forces operate and discovered that when an individual—or a society—is severely repressed, outbreaks of hysteria are common.

Although less prevalent, symptoms indicative of hysteria are still seen today, and manifest as either dissociative disorders, which typically involve interrupted memory and some loss of aware- ness and identity, or somatoform disorders, which involve physical symptoms that either origi- nate as, or are strongly influenced by, psychological experiences. In fact, in reviewing some of the historical incidents of hysteria, it is interesting to note the frequency with which it occurs in gender- segregated contexts. In Malaysia in the 1970s and 80s, for example, school-age girls and young women work- ing in factories were believed to have been affected by “spirits.” More recently in Mexico in 2007, an out- break of unusual symptoms occurred for females at a Catholic boarding school. In 2010 in Brunei (southeast Asia), adolescents at two all-girl secondary schools manifested behavior such as screaming, shaking, and crying due to the belief that they were “possessed.” Although not exclusive to females in repressed societ- ies or in female-only contexts, there does appear to be a greater incidence among women in such repres- sive settings, and this would parallel the fact that most of Freud’s patients with hysteria were likewise female. Freud attributed this female bias to anatomy (the uterus), but later work focused on the fact that woman are disproportionately repressed relative to men in society (see Karen Horney’s work discussed later in this chapter). Manifestations of group hysteria, where teenagers’ behavior is overwhelmed by their impulses, sometimes to the point of fainting, also illustrate a phenomenon called emotional contagion. Emotional contagion can sometimes lead a group into highly destructive and even deadly behaviors, such as have occurred in the United Kingdom during some soccer games.

Tom Le Goff/Photodisc/Thinkstock

Hysterical pregnancy (or pseudocyesis), in which a man or woman exhibits the symptoms of pregnancy without actually being pregnant, is one example of a conversion disorder.

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CHAPTER 2 2.2 Psychoanalytic Theory

Perhaps the closest parallel today to hysteria is conversion disorder, where one manifests a physi- cal symptom in place of a psychological symptom. One of the more interesting examples of this can be seen in one of Freud’s most famous cases: Anna O, a young woman who apparently expe- rienced an hysterical pregnancy, which is when a person experiences the physical symptoms of pregnancy but is not pregnant. Today, this is somewhat rare and is referred to as pseudocyesis or false pregnancy. Pseudocyesis, which was first documented by Hippocrates in approximately 300 BCE, can involve such symptoms as amenorrhea, morning sickness, weight gain, and tender breasts. It has also been documented in men.

Freud wed Martha Bernays in 1886. They had six children, the most prominent of whom, Anna, became a psychoanalyst. She greatly advanced her father’s work, especially in applying his theory to the treatment of children.

Freud was forced to leave Austria prior to World War II, and he settled briefly in England. It was at this later stage in his career that Freud began to emphasize a second instinct underlying human behavior: a death instinct. (Earlier in his life he had emphasized a sexual instinct, presumably paralleling his own primary motives.) He suffered tremendously from cancer of the jaw, probably caused by his prodigious—thirty a day—cigar habit. He endured thirty-two operations but suc- cumbed to the disease in 1939.

2.2 Psychoanalytic Theory

The “discovery of the unconscious” and the development of the psychoanalytic method as a form of scientific inquiry heralded the birth of modern psychotherapy and stands as one of the intellectual milestones of the twentieth century (Schwartz, 1999). Freud’s terminol- ogy permeates contemporary language and shapes culture to a remarkable degree. Hardly a day goes by that one does not hear Freudian terms. Even far outside the professional psychological community, familiarity with many Freudian concepts, such as defense mechanisms, unconscious processes, id, ego, and superego, is commonplace. People talk of repressing their feelings or sup- pressing memories, projecting their issues, sublimating, and so forth. The word ego has become a mainstay of popular culture. Biographers often use various aspects of psychoanalysis to deepen our understanding of the people about whom they write. Even popular books, movies, and televi- sion shows depict or satirize some of Freud’s fundamental concepts.

What Freud set into motion with his unifying theoretical system—his metapsychology, meaning an attempt to go beyond what was known about the mind—was a new emphasis on our inner workings, hidden motivations, and primitive instinctual forces. In fact, Freud not only acknowl- edged these underlying motives, but suggested that they were more important than what could be found in consciousness. Freud argued that these instinctual forces, primarily sexual and aggres- sive impulses, are constrained by society, yet they exercise a profound influence on our behav- ior and our interpersonal relationships. Freud’s theoretical formulations, despite years of intense scrutiny and a backlash against some of his more controversial ideas, remain influential for many contemporary personality theories, and they continue to stimulate research.

The Fundamentals Psychoanalytic theory is a comprehensive metatheory (i.e., going beyond psychology, with what knowledge we had at the time that it originated). It deals with the structure and operation of the

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CHAPTER 2 2.2 Psychoanalytic Theory

mind, the formation of personality through stages of psychosexual development, the develop- ment of psychopathologies, and psychoanalytic methods for treating psychological disorders.

Psychoanalysis was born when Freud abandoned hypnosis in favor of the technique of free association, the uncensored expression of feelings, thoughts, and fantasies. “The patient talks, tells of his past experiences and present impressions, complains, confesses to his wishes and his emotional impulses” (Freud, 1966).

In his clinical work, Freud was faced with many reports of incest, and he ini- tially took them at face value. This led him to believe that sexual trauma was at the root of most psychopathology. He later modified his trauma theory, suggesting instead that incest “memo- ries” were usually fantasies produced by the patient. In the end, Freud changed his emphasis from trauma theory to the Oedipal complex (a son’s desire to possess his mother and jealousy and anger toward his father) to account for the many instances of sexual abuse his patients disclosed. “Fundamental to Freud’s thinking about the mind was a simple assumption: If there is a discon- tinuity in consciousness—something the person is doing but cannot report or

explain—then the relevant mental processes necessary to ‘fill in the gaps’ must be unconscious” (Westen & Gabbard, 1999, p. 59). This assumption was profound and would create considerable controversy (Schwartz, 1999), which continues today in an emotional debate surrounding the validity of recovered memories of abuse. Specifically, some psychoanalytically informed theorists and researchers (e.g., Kluft, 1987) suggest that repressed memories of trauma and abuse can lead to disorders such as Dissociative Identity Disorder (DID; formerly Multiple Personality Disorder). However, other researchers have been very critical of this hypothesis, suggesting that there is considerable fallibility in both those who make the diagnosis of DID (Levitt, 1988) and the process of recovering any memories (Loftus & Davis, 2006), especially those involving abuse (Lilienfeld et al., 1999). Resolving the debate of how to best differentiate actual memories of abuse and trauma from false memories will be of great importance for both clinicians and researchers (e.g., Belli, 2012; Gorman, 2008; Milchman, 2012).

Psychoanalysis was not only a theory of personality; it was also a method of investigation that was well suited to tapping into the unconscious, as well as a method of treatment (Westen & Gabbard, 1999). Arguably because psychoanalysis simultaneously served all of these functions, it was more susceptible to tautological errors. Had independent methods been used to tap the unconscious or treat the patient, this might have allowed for a more thorough testing of Freud’s ideas.

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Freud believed that the technique of free association could provide a window into the patient’s unconscious.

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CHAPTER 2 2.3 The Structural Components of Personality

The Three Central Tenets of Psychoanalytic Theory Psychoanalytic theory has three central tenets. The first is that all human behavior is driven by sex- ual and aggressive instincts. The second is that people experience conflict, between the individual and society as well as within each individual. The third is that psychoanalytic theory assumes that all significant aspects of psychological functioning (including the aforementioned instincts and conflict) are unknown to the individual.

The Basic Instincts: Sex and Aggression Instincts are central to Freudian theory. Freud postulated two primary instinctual drives: the sexual (or libidinal) and the aggressive. He theorized that these were opposing drives. The libido (some- times referred to as Eros, the Greek god of love and sexual desire) represents the life instinct; aggression is a form of the death instinct (sometimes called Thanatos, a minor mythological Greek figure). Psychoanalysis emphasized the sex drive as the main source of psychic energy (Westen & Gabbard, 1999).

The importance of the sex drive was seen in Freud’s early work. Initially, he believed that psycho- pathology was due to sexual difficulties, and he even recommended more sexual activity as a cure for anxiety (e.g., Macmillan, 1997). However, he also suggested that other problems would arise due to masturbation. Freud had similar views regarding aggression: Too little and the individual would suffer from a passive personality, but too much might lead to hyper-aggression. Excessive aggressive impulses can be channeled into various types of psychopathology, such as perversions or personality disorders such as hysteria, obsessional neurosis, and passive aggression. When indi- viduals are functioning well, they are able to use aggression in an appropriately competitive, self- protective, and assertive fashion. Freud believed that the key to mental health is to balance these forces so that the relationship between our needs and those of others are in equilibrium.

2.3 The Structural Components of Personality

Psychoanalysis is a structural theory, in that it offers us a blueprint of the structure of the psyche and an account of the interplay among the various psychic agents. This section intro-duces the basic structure and the interplay between the unconscious, the preconscious, and conscious awareness.

Topography of the Mind Freud’s model of the mind’s topography is depicted in Figure 2.1. This is not a map of the brain, but a theoretical conception of how the mind organizes experience and how its various compo- nents interrelate. The main divisions are the unconscious, preconscious, and conscious sectors. These divisions of mental structure are central to Freud’s theory and are defined as follows:

• Unconscious: Refers to the portion of the mind of which we are unaware. It includes impulses, fantasy, and primary processes. This represents the vast majority of the mind, though unconscious material is often completely inaccessible. Indeed, even if material can be moved from the unconscious to the preconscious and eventually to conscious awareness, it takes a long time and considerable therapy.

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CHAPTER 2 2.3 The Structural Components of Personality

Figure 2.1: Topographical representation of Freud’s theory on the mind and the role of anxiety and repression

Much of Freud’s theory is focused on the interplay between the conscious, preconscious, and unconscious and how defense mechanisms function.

• Preconscious: The preconscious is the portion of the mind where unconscious material is transformed or “worked over” by defense mechanisms such as condensation and dis- placement. Any material that is moving from the unconscious to conscious awareness first must go through the preconscious. Unlike the unconscious, which requires intensive ther- apy before an individual can get a glimpse of its contents, the preconscious can be moved to awareness simply by directing attention to the material. Researchers subsequently operationalized the term the cognitive unconscious, which was quite distinct from Freud’s unconscious, and more akin to his concept of the preconscious (see Kihlstrom, 1987). This is an important issue in the research to be described.

• Conscious: The conscious portion of the mind contains the aspects of ourselves of which we are aware. Freud believed this represented a very small part of our mind.

Structural Components of the Mind Freud described three major components of mental structure: the id, ego, and superego (see Figure 2.2). These structures were characterized as having a developmental sequence, with the id being present at birth, followed later by the ego, and eventually the superego. Freud also believed that the id was only influenced by instincts; as other external sources exert their influence, then the ego and superego can develop. Each of these structures is here described in more detail.

Conscious

Preconscious

Unconscious Anxiety

Repression

Sexual and aggressive impulses

Defensive layer

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CHAPTER 2 2.3 The Structural Components of Personality

Figure 2.2: The interplay of Freud’s id, ego, and superego

Intrapsychic conflict is a staple of Freud’s theory, and the structures that sustain that conflict are depicted here.

Conscience; “Ego ideal”

Instinctual organization (sexual and aggressive

drives)

Compromise and

adaptation Reality

principle

EGO

ID SUPEREGO

Id

Freud stated that the id is the first of the structures to influence behavior. The id includes the instincts or drives with which we are born, and it is driven by primary process thinking; that is, its thinking derives from inner thoughts and fantasies that are egocentric in nature and lacking in objectivity. Freud argued that the id resides primarily in the unconscious and has no contact with objective reality.

The id operates by what Freud termed the pleasure principle: the attempt to avoid pain and maximize pleasure. The id constantly seeks to discharge any buildup of tension and to return to a state of comfort or homeostasis. When hungry, it compels us to eat, and when there is a buildup of sexual tension, it looks for release without regard for consequences—hence it is called a primary process.

Primary process discharges tension by using the imagery of an object to remove the tension. This can occur because the wish is buried in the unconscious, so its resolution can also be in the uncon- scious. The resolution imagery (or hallucinatory experience) represents wish fulfillment. Primary process can be expressed in fantasy or in dreams. Almost everyone engages in some form of sex- ual or narcissistic (self-gratification) fantasy to reduce tension. For example, after being belittled in an office meeting by one’s employer, the targeted employee might daydream about the outcome of an upcoming tennis match in which his boss is humiliated in defeat. Individuals who are overly dominated by primary process are usually psychotic. They are overly dependent on fantasy as a way of gaining gratification; in other words, real life is not sufficiently gratifying for them.

Although being dominated by the id can indicate psychopathology for adults, normally functioning infants are thought to fully experience this primitive stage. Their focus is on the gratification of instinctual urges, without consideration of the consequences of their actions. Freud also argued

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CHAPTER 2 2.3 The Structural Components of Personality

that such urges are subject to instant gratification, meaning that the urge or desire must be satis- fied right away. In fact, a key developmental milestone is when children are able to start delaying their gratification, meaning that they can put off satisfying an urge, knowing that it can be satisfied in the future. According to Freud, the id is the structure that creates physical drive (e.g., libido) and energizes us, and is the original level of personality from which the ego and superego become differentiated as development proceeds.

Ego

The ego is the psychic structure whose primary function is that of mediation. Freud believed that our lives are filled with conflict, and he believed that our ability to function effectively was deter- mined in large part by our ability to mediate these conflicts. Thus, a well-functioning ego is critical to adaptive behavior.

There are two direct sources of conflict that the ego must mediate. The first is the conflict between the instinctual, gratification-seeking aims of the id and the demands and restrictions of the external world (society). In other words, the id seeks instant gratification of basic desires, but society places practical constraints on one’s ability to address those desires, at least in a public forum. The second source of conflict is internal, and arises between the self-gratifying demands of the id and the unrealistic expectations of the superego, which reflects what we should do (more on this shortly).

The ego functions on the reality principle, which is the recognition that gratification is subject to what reality makes possible. In a sense, with the development of the ego, reality attempts to supersede the gratification-seeking pleasure principle of the id. Now the ego incorporates reality testing into the individual’s functioning so that realistic aims and plans can be carried out in place of unreasonable desires. Reality testing is essentially an information-processing function in which the consequences of actions are weighed against the value of gratification. This means that one of the main functions of the ego is to problem-solve appropriate ways of satisfying the individual’s needs. The ego works in conjunction with the id, attempting to balance impulses, but also using the id’s energy to provide drive, creativity, and motivation. When there is a breakdown of the ego, individuals lose most of their ability to perceive reality adequately and to control the force of primary process. The result is that constraints on behavior are often temporarily removed, and individuals may engage in highly unacceptable and even criminal behavior.

Superego

In Freud’s theory, the superego is the mental structure that represents the internalization of soci- ety’s values and morals, as portrayed by parental figures and social institutions. The superego, which operates by the morality principle, represents how the individual should behave. It arises as the child learns to differentiate good and bad behavior, and it is influenced by the punishment and praise that parents provide and by the consequences of behavior. Importantly, because the super- ego is, like the id, buried in the unconscious, it also has no contact with reality. Thus, the morality espoused is not normal morality, but ideal morality and perfection. When over-functioning, it can lead to what is described as a punitive superego, which may require the self to suffer guilt that can lead to neurotic behavior and, in its extreme form, can be expressed in psychopathological adap- tations, such as masochism or self-sabotaging behavior. Our conscience is the part of our superego that determines the right course of action, trying to balance personal needs and societal-familial expectations. Guilt arises in the system when we ignore what our conscience tells us.

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CHAPTER 2 2.3 The Structural Components of Personality

Anxiety A well-functioning psyche reflects an id and superego that are perfectly balanced by the activities of the ego. However, when this balance is not achieved (and this was a common outcome, accord- ing to Freud), the result is the experience of anxiety.

Freud’s described three basic categories of anxiety: moral, realistic, and neurotic. Moral anxiety refers to the tension generated when the id gains too much control over the ego. This is due to the fact that the superego demands that the individual live up to the ego ideal; when this does not occur, the superego induces guilt. Realistic anxiety is a rational response to actual danger, which triggers a flight-fight-or-freeze response. It reflects how the nervous system evolved to protect us from danger and is mediated by some of the older systems of the brain (parts of the limbic sys- tem). Thus, realistic anxiety requires an immediate response: Stay and fight, run and escape, or freeze and submit to the danger (Sapolsky, 2004). In contrast, neurotic anxiety has a kind of “free- floating” quality unrelated to any immediate threat. Neurotic anxiety is sometimes converted into various symptoms, such as obsessional neurosis, where the individual engages in compulsions that serve to reduce the anxiety so that it does not become overwhelming. This behavior is also reflected in our modern day diagnostic labels—specifically, obsessive-compulsive disorder.