San Francisco Psychotherapy Research Group, Clinic and Training Center Newsletter
Issue #19
December 20, 2007
In This Issue  

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For the purpose of ongoing discussions regarding articles in your newsletter a new section begins this month: "OPINION PARAGRAPHS". Please keep your article to 200-250 words and refer your opinion to a named article, issue# and author. Also, please provide a short bio with your connection to SFPRG.

This section can also be for the ongoing discussion of control-mastery concepts, ideas you have for the future and/or direction of SFPRG, what you think may be obstacles to our progress and/or other relevant topics.

I look forward to lively and informative discussions and hope you use your "OPINION PARAGRAPHS" to the fullest extent.

MEMBERSHIP COMMITTEE CORNER
 
From Karen Hubble and Kathy DePaola
9 & 10 Funston Ave, The Presidio

LAST CALL MEMBERSHIP DRIVE:

Looking forward to receiving your SFPRG Membership Directory? Your Membership Committee encourages you to renew by December 31, 2007 so you can be included in "The SFPRG Directory". Then, look for your Directory sooner than later! (To renew click on Presidio picture, click on Membership and click on Membership Form)

RECOMMENDATION FOR INTERN FEE WAIVER

The Membership Committee made a recommendation to the Board of Directors that the SFPRG membership fee be waived for interns at the clinic. These interns currently donate their time to the clinic and have requested that their fee be waived as it is a hardship for them.

The Membership Committee is in favor of waiving the fee as a way to facilitate access to the educational and professional benefits of membership in SFPRG and to promote good will.


EDUCATION COMMITTEE CORNER
 
From Patsy Wood

The Education Committee is very interested in peoples' ideas for workshops that we can present this spring. There are a wide variety of topics that might be terrific workshops. Think about what workshops you might like to attend or what particular areas of interest relevant to Control Mastery theory you might have that could be organized into a spring workshop.

The Education Committee will work with you to develop your workshop ideas. So please contact me (pwood@jps.net) with your ideas and interests. We welcome all possible topics as long as they have relevance for Control Mastery Theory and human psychology.

I also take this opportunity to thank you for all of your support over the course of this year. I hope you have a wonderful holiday season. Sincerely, Patsy Wood


RESEARCH CORNER
 
From Marshall Bush

The SFPRG Friday 2PM research group is now on Winter break. We resume on January 18. I encourage more members and graduate students to join.

We are studying testing in a recorded analysis and relating it the patient's progress on a variety of dimensions.

The group provides a good opportunity for members to participate in creative research projects, develop new ideas we can test and learn new research skills.

All questions about the group should be directed to me 415-561-6775 or drmbush@pacbell.net


POST-GRADUATE TRAINING PROGRAM
 
From Colleen Russell

As a participant of the Post-Graduate Control-Mastery Training Program facilitated by John T. Curtis, Ph.D. and George Silberschatz, Ph.D., I was grateful to hear Louis Breger, author of Freud, Darkness in the Midst of Vision present his findings to our group recently. There was a focus on how Freud's personal trauma deeply influenced his theory.

Like others in attendance in the post-grad program I was astounded by some of the material Breger researched including the standard, and abusive, treatment (even execution) of "shell shocked" troops in World War I along with Freud's response to combat trauma and what we now define as post- traumatic stress. Read On


CO-NARCISSIM, PART TW0
 
From Alan Rappoport

The following is the second part of our serialization of Alan Rappoport's article, Co- Narcissism: How We Accommodate to Narcissistic Parents. Subsequent portions of the article will appear in future issues of the newsletter. You may also view the whole article by clicking on the link provided just below.

Children of narcissists tend to feel overly responsible for other people. They tend to assume that others' needs are similar to those of their parents, and feel compelled to meet those needs by responding in the required manner. They tend to be unaware of their own feelings, needs, and experience, and fade into the background in relationships.

Co-narcissistic people are typically insecure because they have not been valued for themselves, and have been valued by their parents only to the extent that they meet their parents' needs. They develop their self-concepts based on their parents' treatment of them and therefore often have highly inaccurate ideas about who they are. For example, they may fear that they are inherently insensitive, selfish, defective, fearful, unloving, overly demanding, hard to satisfy, inhibited, and/or worthless. Read On


ANNOUNCEMENTS
 

Barbara Sapienza encourages members/readers to continue to provide referrals to our low-fee, intern staffed clinic.

The San Francisco Psychotherapy Research Group has a psychotherapy office available at its beautiful Presidio location - either large downstairs corner office (lots of windows, decorative fireplace) or smaller upstairs office with slanted ceiling. Full kitchen, waiting room, plenty of free parking nearby. Available now with 5 year lease.

To view photos click on the link below. Please call Rob at 415-561-6771 to tour.


OPINION PARAGRAPHS
 

Further thoughts about research at the SFPRG from Vic Comello:

I would like to add to George Silberschatz's plea that control mastery research continue. If the old-timer members of the SFPRG (you know who you are) were to ask themselves why they now hold control mastery in special regard, I wager that the reason would not be merely that the theory provided them with a livelihood. Rather it would be that they were once given the chance to participate in the development of the theory through their own research.

The need for research continues, and that need will be met only if students are afforded the opportunity to engage in research as part of their training. Only then also will they come to hold control mastery in the same high regard as their mentors. What is at stake literally is the future of the theory.

Control mastery theory is a work in progress. It began with a cognitive focus (disconfirmation of pathogenic beliefs) and was in the process of transitioning to a relational theory (treatment by attitudes) at the time Joe Weiss and Hal Sampson stopped working on it.

Without further research, control mastery will never become a fully formed relational theory. Joe once told me that he feared the Research Group was dead. I would hate to believe that he was right.

I was trained as a theoretical physicist, which served to structure a psychological inquiry that lasted most of my life. I came to know of Joe's work in the late 1970s, being struck by his notion of unconscious testing, having come to a similar conclusion on my own. I met Joe in the 1990s with Jessica Broitman's help. Joe and I corresponded and had wide-ranging discussions over his 40-year-old scotch when I stayed as his houseguest while attending the March workshops. I have been working to give control-mastery theory an attachment-related dimension. My progress can be tracked on the http://controlmastery.org website (click the link below), which also has more than 100 articles by Joe, Hal, and members of the San Francisco Psychotherapy Research Group. Any member can be published on the site by sending the article to me at vcomello@aol.com. I can provide editorial help, if desired, as I currently work as a Senior Technical Writer at Argonne National Laboratory.


Cont'd: Post-Graduate Training Program
 

To quote Berger author of Freud, Darkness in the Midst of Vision page 264: "The encounter between psychoanalysis and the war neuroses shows Freud confronting the survivors of trauma and, as he had with his hysterical patients of the 1890's, both seeing and turning away from what he saw. His need to affirm his sweeping theory of sexuality, to explain all in terms of internal-instinctual forces while ignoring complex social conditions, to prove that psychoanalysis already knew about these conditions -- that he was right and his established technique beyond question -- blinded him to the evidence before his eyes. These patients could have led him to question his doctrines, to reassess the role of trauma, anxiety, grief, loss, and catharsis, but he would only do so partially in his self-analytic way."

As a psychotherapist with a specialty in cult recovery and education, I was joined by Breger in considering Freud's psychoanalytic school in terms of its cult characteristics. Freud's apparent extreme narcissism and paranoid traits, his insistence to be "right" while anyone who disagreed with him was deemed "wrong" in an attempt to satisfy his personal needs, the "us" as enlightened vs. "them" as ignorant stance, "doctrine over person" (one of Robert Jay Lifton's criteria for thought reform) of the subordination of human experience to claims of doctrine, are some of the obvious elements of cults.

It was very satisfying to gain a deeper understanding of Freud, his relationships, traumas, insecure attachments, brilliance, and the beginnings of psychoanalysis. Breger's critical investigation of Freud, his "darkness"as well as "vision" is a must- read.

Colleen Russell is an MFT with over 20 years experience in SF Bay area agencies and private practice. She has found Control-Mastery theory to be helpful and specializes in cult or high-demand group recovery and also "motherless daughters". Click on the link below to find out more about her practice. Her office is located in Mill Valley and she is accepting new patients.

Mill Valley and San Francisco Offices

415.383.7721 Toll free: 1.800.619.5705


Con'td: Co-Narcissism
 

People who behave co-narcissistically share a number of the following traits: they tend to have low self-esteem, work hard to please others, defer to others' opinions, focus on others' world views and are unaware of their own orientations, are often depressed or anxious, find it hard to know how they think and feel about a subject, doubt the validity of their own views and opinions (especially when these conflict with others' views), and take the blame for interpersonal problems.

Often, the same person displays both narcissistic and co-narcissistic behaviors, depending on circumstances. A person who was raised by a narcissistic or a co-narcissistic parent tends to assume that, in any interpersonal interaction, one person is narcissistic and the other co-narcissistic, and often can play either part. Commonly, one parent was primarily narcissistic and the other parent primarily co-narcissistic, and so both orientations have been modeled for the child. Both conditions are rooted in low self-esteem. Both are ways of defending oneself from fears resulting from internalized criticisms and of coping with people who evoke these criticisms. Those who are primarily co-narcissistic may behave narcissistically when their self-esteem is threatened, or when their partners take the co- narcissistic role; people who primarily behave narcissistically may act co-narcissistically when they fear being held responsible and punished for another's experience.

Narcissistic people blame others for their own problems. They tend not to seek psychotherapy because they fear that the therapist will see them as deficient and therefore are highly defensive in relation to therapists. They do not feel free or safe enough to examine their own behavior, and typically avoid the psychotherapy situation. Co-narcissists, however, are ready to accept blame and responsibility for problems, and are much more likely than narcissists to seek help because they often consider themselves to be the ones who need fixing.

The image I often keep in mind, and share with my patients regarding narcissism, is that the narcissist needs to be in the spotlight, and the co- narcissist serves as the audience. The narcissist is on stage, performing, and needing attention, appreciation, support, praise, reassurance, and encouragement, and the co-narcissist's role is to provide these things. Co-narcissists are approved of and rewarded when they perform well in their role, but, otherwise, they are corrected and punished.

One of the critical aspects of the interpersonal situation when one person is either narcissistic or co- narcissistic is that it is not, in an important sense, a relationship. I define a relationship as an interpersonal interaction in which each person is able to consider and act on his or her own needs, experience, and point of view, as well as being able to consider and respond to the experience of the other person. Both people are important to each person. In a narcissistic encounter, there is, psychologically, only one person present. The co-narcissist disappears for both people, and only the narcissistic person's experience is important. Children raised by narcissistic parents come to believe that all other people are narcissistic to some extent. As a result, they orient themselves around the other person in their relationships, lose a clear sense of themselves, and cannot express themselves easily nor participate fully in their lives.

All these adaptations are relatively unconscious, so most co-narcissistic people are not aware of the reasons for their behavior. They may think of themselves as inhibited and anxious by nature, lacking what it takes to be assertive in life. Their tendency to be unexpressive of their own thoughts and feelings and to support and encourage others' needs creates something of an imbalance in their relationships, and other people may take more of the interpersonal space for themselves as a result, thereby giving the impression that they are, in fact, narcissists, as the co-narcissist fears they are.

Co-narcissistic people often fear they will be thought of as selfish if they act more assertively. Usually, they learned to think this way because one or both parents characterized them as selfish if they did not accommodate to the parent's needs. I take patients' concerns that they are selfish as an indication of narcissism in the parents, because the motivation of selfishness predominates in the minds of narcissistic people. It is a major component of their defensive style, and it is therefore a motivation they readily attribute to (or project onto) others.

There are three common types of responses by children to the interpersonal problems presented to them by their parents: identification, compliance, and rebellion (see Gootnick, 1997, for a more thorough discussion of these phenomena). Identification is the imitation of one or both parents, which may be required by parents in order for them to maintain a sense of connection with the child. In regard to narcissistic parents, the child must exhibit the same qualities, values, feelings, and behavior which the parent employs to defend his or her self-esteem. For example, a parent who is a bully may not only bully his child, but may require that the child become a bully as well. A parent whose self-esteem depends on his or her academic achievement may require that the child also be academically oriented, and value (or devalue) the child in relation to his or her accomplishments in this area. Identification is a response to the parent seeing the child as a representative of himself or herself, and is the price of connectedness with the parent. It results in the child becoming narcissistic herself.

Compliance refers to the co-narcissistic adaptation described earlier, wherein the child becomes the approving audience sought by the parent. The child is complying with the parent's needs by being the counterpart the parent seeks. All three forms of adaptation (identification, compliance, and rebellion) can be seen as compliance in a larger sense, since, in every case, the child complies in some way with the needs of the parent, and is defined by the parent. What defines compliance in this sense is that the child becomes the counterpart the parent needs from moment to moment to help the parent manage threats to his or her self-esteem.

Rebellion refers to the state of fighting to not accept the dictates of the parent by behaving in opposition to them. An example of this behavior is that of an intelligent child who does poorly in school in response to his parent's need that he be a high achiever. The critical issue here is that the child is unconsciously attempting to not submit to the parent's definition of him despite his inner compulsion to comply with the parent's needs. He therefore acts in a self-defeating manner in order to try to maintain a sense of independence. (If the pressure for compliance had not been internalized, the child would be free to be successful despite the parent's tendency to co-opt his achievements.)

Part Three follows in January.



Thank you members and readers for your participation in your newsletter. It is gratifying to be editor of this august SFPRG Newsletter. Best Wishes for the New Year!!


Kathie Dunn MFT, Editor
San Francisco Psychotherapy Research Group, Clinic and Training Center

Phone: 415-561-6771
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