Heinz Kohut
Encyclopedia
Heinz Kohut was an Austrian
Austrians
Austrians are a nation and ethnic group, consisting of the population of the Republic of Austria and its historical predecessor states who share a common Austrian culture and Austrian descent....

-born American
United States
The United States of America is a federal constitutional republic comprising fifty states and a federal district...

 psychoanalyst best known for his development of Self psychology
Self psychology
Self Psychology is a school of psychoanalytic theory and therapy created by Heinz Kohut and developed in the United States at the Chicago Institute for Psychoanalysis. Self psychology explains psychopathology as being the result of disrupted or unmet developmental needs...

, an influential school of thought within psychodynamic/psychoanalytic theory which helped transform the modern practice of analytic and dynamic treatment approaches.

Early life

Kohut was born on 3 May, 1913 to an assimilated
Jewish assimilation
Jewish assimilation refers to the cultural assimilation and social integration of Jews in their surrounding culture. Assimilation became legally possible in Europe during the Age of Enlightenment.-Background:Judaism forbids the worship of other gods...

 Jewish family and received his MD
Doctor of Medicine
Doctor of Medicine is a doctoral degree for physicians. The degree is granted by medical schools...

 in neurology at the University of Vienna
University of Vienna
The University of Vienna is a public university located in Vienna, Austria. It was founded by Duke Rudolph IV in 1365 and is the oldest university in the German-speaking world...

. Like many Jews
Jews
The Jews , also known as the Jewish people, are a nation and ethnoreligious group originating in the Israelites or Hebrews of the Ancient Near East. The Jewish ethnicity, nationality, and religion are strongly interrelated, as Judaism is the traditional faith of the Jewish nation...

, including Freud, Kohut fled Nazi occupation of his native Vienna
Vienna
Vienna is the capital and largest city of the Republic of Austria and one of the nine states of Austria. Vienna is Austria's primary city, with a population of about 1.723 million , and is by far the largest city in Austria, as well as its cultural, economic, and political centre...

, Austria
Austria
Austria , officially the Republic of Austria , is a landlocked country of roughly 8.4 million people in Central Europe. It is bordered by the Czech Republic and Germany to the north, Slovakia and Hungary to the east, Slovenia and Italy to the south, and Switzerland and Liechtenstein to the...

 in 1939. Kohut settled in Chicago
Chicago
Chicago is the largest city in the US state of Illinois. With nearly 2.7 million residents, it is the most populous city in the Midwestern United States and the third most populous in the US, after New York City and Los Angeles...

 and became a prominent member of the Chicago Institute for Psychoanalysis
Chicago Institute for Psychoanalysis
The Chicago Institute for Psychoanalysis is a center for psychoanalytic research, training, and education that is located on Michigan Avenue in downtown Chicago. The institute provides professional training in the theory and practice of psychoanalysis and psychotherapy...

. Kohut was such a strong proponent of the traditional psychoanalytic perspective that was dominant in the U.S. that he jokingly called himself "Mr. Psychoanalysis."

Development of Self psychology

In the aftermath of World War II
World War II
World War II, or the Second World War , was a global conflict lasting from 1939 to 1945, involving most of the world's nations—including all of the great powers—eventually forming two opposing military alliances: the Allies and the Axis...

 and the Holocaust, Freudian analysis focused on individual guilt and tended not to reflect the new zeitgeist
Zeitgeist
Zeitgeist is "the spirit of the times" or "the spirit of the age."Zeitgeist is the general cultural, intellectual, ethical, spiritual or political climate within a nation or even specific groups, along with the general ambiance, morals, sociocultural direction, and mood associated with an era.The...

 (the emotional interests and needs of people struggling with issues of identity, meaning, ideals, and self-expression). http://www.2think.org/heinz_kohut.shtml Though he initially tried to remain true to the traditional analytic viewpoint with which he had become associated and viewed the self as separate but coexistent to the ego, Kohut later rejected Freud's structural theory of the id, ego, and superego. He then developed his ideas around what he called the tripartite (three-part) self.

According to Kohut, this three-part self can only develop when the needs of one's "self states," including one's sense of worth and well-being, are met in relationships with others. In contrast to traditional psychoanalysis, which focuses on drives (instinctual motivations of sex and aggression), internal conflicts, and fantasies, self psychology thus placed a great deal of emphasis on the vicissitudes of relationships.

Kohut demonstrated his interest in how we develop our "sense of self" using narcissism
Narcissism
Narcissism is a term with a wide range of meanings, depending on whether it is used to describe a central concept of psychoanalytic theory, a mental illness, a social or cultural problem, or simply a personality trait...

 as a model. If a person is narcissistic
Narcissistic personality disorder
Narcissistic personality disorder is a personality disorder in which the individual is described as being excessively preoccupied with issues of personal adequacy, power, prestige and vanity...

, it will allow him to suppress feelings of low self-esteem
Self-esteem
Self-esteem is a term in psychology to reflect a person's overall evaluation or appraisal of his or her own worth. Self-esteem encompasses beliefs and emotions such as triumph, despair, pride and shame: some would distinguish how 'the self-concept is what we think about the self; self-esteem, the...

. By talking highly of himself, the person can eliminate his sense of worthlessness.

Historical Context

Kohut expanded on his theory during the 1970s
1970s
File:1970s decade montage.png|From left, clockwise: US President Richard Nixon doing the V for Victory sign after his resignation from office after the Watergate scandal in 1974; Refugees aboard a US naval boat after the Fall of Saigon, leading to the end of the Vietnam War in 1975; The 1973 oil...

, a time in which aggressive individuality, overindulgence, greed, and restlessness left many people feeling empty, fragile, and fragmented.

Perhaps because of its positive, open, and empathic stance on human nature as a whole as well as the individual, self psychology is considered one of the "four psychologies" (the others being drive theory, ego psychology
Ego psychology
Ego psychology is a school of psychoanalysis rooted in Sigmund Freud's structural id-ego-superego model of the mind.An individual interacts with the external world as well as responds to internal forces. Many psychoanalysts use a theoretical construct called the ego to explain how that is done...

, and object relations); that is, one of the primary theories on which modern dynamic therapists and theorists rely. According to biographer Charles Strozier, "Kohut...may well have saved psychoanalysis from itself."http://www.2think.org/heinz_kohut.shtml Without his focus on empathic relationships, dynamic theory might well have faded in comparison to one of the other major psychology orientations (which include humanism
Humanism
Humanism is an approach in study, philosophy, world view or practice that focuses on human values and concerns. In philosophy and social science, humanism is a perspective which affirms some notion of human nature, and is contrasted with anti-humanism....

 and cognitive behavioral therapy) that were being developed around the same time.

Also according to Strozier, Kohut's book The Analysis of the Self: A Systematic Analysis of the Treatment of the Narcissistic Personality Disorders http://www.pep-web.org/document.php?id=ijp.054.0363a "had a significant impact on the field by extending Freud's theory of narcissism
Narcissism
Narcissism is a term with a wide range of meanings, depending on whether it is used to describe a central concept of psychoanalytic theory, a mental illness, a social or cultural problem, or simply a personality trait...

 and introducing what Kohut called the 'selfobject transferences' of mirroring and idealization." In other words, children need to idealize and emotionally "sink into" and identify with the idealized competence of admired figures. They also need to have their self-worth reflected back ("mirrored
Mirroring (psychology)
Mirroring is the behaviour in which one person copies another person usually while in social interaction with them. It may include miming gestures, movements, body language, muscle tensions, expressions, tones, eye movements, breathing, tempo, accent, attitude, choice of words/metaphors and other...

") by empathic
Empathy
Empathy is the capacity to recognize and, to some extent, share feelings that are being experienced by another sapient or semi-sapient being. Someone may need to have a certain amount of empathy before they are able to feel compassion. The English word was coined in 1909 by E.B...

 and caregiving others. These experiences allow them to thereby learn the self-soothing and other skills that are necessary for the development of a healthy (cohesive, vigorous) sense of self. For example, therapists become the idealized parent and through transference the patient begins to get the things he has missed. The patient also has the opportunity to reflect on how early the troubling relationship led to personality problems. Narcissism arises from poor attachment at an early age. Freud also believed that narcissism hides low self esteem, and that therapy will reparent them through transference and they begin to get the things they missed. Later, Kohut added the third major selfobject theme (and he dropped the hyphen in selfobject) of alter-ego/twinship, the theme of being part of a larger human identification with others.

Though dynamic theory tends to place emphasis on childhood development, Kohut believed that the need for such selfobject relationships does not end at childhood but continues throughout all stages of a person's life.

Death

In the final week of his life, knowing that his time was at an end, Kohut spent as much time as he could with his family and friends. He fell into a coma
Coma
In medicine, a coma is a state of unconsciousness, lasting more than 6 hours in which a person cannot be awakened, fails to respond normally to painful stimuli, light or sound, lacks a normal sleep-wake cycle and does not initiate voluntary actions. A person in a state of coma is described as...

 on the evening of October 7, 1981, and died of cancer on the morning of October 8.

Publications

  • Analysis of the Self: Systematic Approach to Treatment of Narcissistic Personality Disorders, International Universities Press, 2000, ISBN 0-8236-8002-9

  • How Does Analysis Cure?, Heinz Kohut, ed. Arnold Goldberg, 1984, ISBN 9780226450346

  • 'The Search for the Self: Selected Writings of Heinz Kohut: 1978-1981, ISBN 0823660176, ISBN 9780823660179

  • The Kohut Seminars on Self Psychology and Psychotherapy With Adolescents and Young Adults, Miriam Elson, 1987, ISBN 0393700410, ISBN 978-0393700411

  • Heinz Kohut: The Chicago Institute Lectures, ed. Paul Tolpin, Marian Tolpin, 199, ISBN 0881631167

  • Heinz Kohut: The Making of a Psychoanalyst, Charles B. Strozier, 2004, ISBN 1590511026

  • Heinz Kohut and the Psychology of the Self (Makers of Modern Psychotherapy), Allen Siegel, 1996, ISBN 041508637X

  • The Curve of Life: Correspondence of Heinz Kohut, 1923-1981, 1994, ISBN 0226111709

  • The Psychology of the Self: A Casebook, Heinz Kohut, Arnold Goldberg, 1978, ISBN 0823655822

  • Releasing the Self: The Healing Legacy Of Heinz Kohut, Phil Mollon, 2001, ISBN 1861562292

  • White,M. Weiner,M., The Theory And Practice Of Self Psychology, 1986, ISBN 0876304250

  • Treating the Self: Elements of Clinical Self Psychology, Ernest S. Wolf, 2002, ISBN 1572308427

  • Heinz Kohut, The Restoration of the Self, New York: International Universities Press, 1977

See also

  • Narcissism
    Narcissism
    Narcissism is a term with a wide range of meanings, depending on whether it is used to describe a central concept of psychoanalytic theory, a mental illness, a social or cultural problem, or simply a personality trait...

  • Healthy narcissism
    Healthy narcissism
    'Some psychoanalysts and writers make a distinction between "healthy narcissism" and "unhealthy narcissism"...the healthy narcissist being someone who has a real sense of self-esteem that can enable them to leave their imprint on the world, but who can also share in the emotional life of...

  • Narcissistic personality disorder
    Narcissistic personality disorder
    Narcissistic personality disorder is a personality disorder in which the individual is described as being excessively preoccupied with issues of personal adequacy, power, prestige and vanity...

  • Narcissistic rage
    Narcissistic rage
    Narcissistic rage is a reaction to narcissistic injury, a perceived threat to a narcissist’s self-esteem or self-worth. Narcissistic rage is a term first coined by Heinz Kohut in 1972...

  • True self and false self: Kohut

External links

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