Peter Fonagy - Affect Regulation, Mentalization, and the Development of Self

Contents

PART I

CHAPTER 1

CHAPTER 2

CHAPTER 3

PART II

CHAPTER 4

CHAPTER 5

CHAPTER 6

CHAPTER 7

CHAPTER 8

PART III

CHAPTER 9

CHAPTER 10
Psychic Reality in Borderline States

CHAPTER 11

About the Authors

Peter Fonagy, Ph.D., F.B.A., is Freud Memorial Professor of Psychoanalysis and Director of the Sub-Department of Clinical Health Psychology at University College London. He is Chief Executive of the Anna Freud Centre, London. He is Consultant to the Child and Family Program at the Menninger Department of Psychiatry at Baylor College of Medicine. He is a clinical psychologist and a training and supervising analyst in the British Psychoanalytical Society in child and adult analysis. His clinical interests center around issues of borderline psychopathology, violence, and early attachment relationships. His work attempts to integrate empirical research with psychoanalytic theory. He holds a number of important positions, including cochair of the Research Committee of the International Psychoanalytic Association, and is a Fellow of the British Academy. He has published over 200 chapters and articles and has authored or edited several books. His most recent books include Attachment Theory and Psychoanalysis (published 2001 by Other Press), What Works for Whom? A Critical Review of Treatments for Children and Adolescents (with M. Target, D. Cottrell, J. Phillips, and Z. Kurtz, published 2002 by Guilford), Psychoanalytic Theories: Perspectives from Developmental Psychopathology (with M. Target, published 2003 by Whurr Publications), Psychotherapy for Borderline Personality Disorder:Mentalization Based Treatment (with A. Bateman, published 2004 by Oxford University Press), and What Works for Whom? A Critical Review of Psychotherapy Research (with A. D. Roth, in press with Guilford).

Gyrgy Gergely, Ph.D., D.Sc., is Director of the Department of Developmental Research at the Institute for Psychological Research of the Hungarian Academy of Sciences and Senior Lecturer at the Cognitive Developmental Doctoral Program of the Etvs Lrnd University in Budapest. He is a clinical child psychologist and has been on the visiting faculty of the Max Planck Institute for Psychology in Munich, the Child and Family Center at the Menninger Clinic, the Department of Psychology at University College London, and the Department of Psychology at Berkeley. He is on the Panel of the European Cognitive Neuroscience Initiative at Trieste, Italy. He is the author of Free Word Order and Discourse Interpretation (published 1991 by Academic Press of Budapest) and serves on the editorial boards of several major journals. He is currently a Guggenheim Fellow writing a book on the development of social cognition in infancy.

Elliot L. Jurist, Ph.D., Ph.D., is Director of the PhD Program in Clinical Psychology, CUNY, and Lecturer, Department of Psychiatry, College of Physicians and Surgeons, Columbia University. He is the author of Beyond Hegel and Nietzsche: Philosophy, Culture and Agency (published 2000 by MIT Press) and numerous articles in philosophy and psychology. His interests focus on emotions and especially the relation between emotions and human agency. He is currently writing a book on affect regulation and addictions. Dr. Jurist has served on the Neuropsychiatry service at New York Presbyterian Hospital, Columbia campus, and on the Ethics committees of the New York State Psychiatric Institute and now of Division 39 of the American Psychological Association. He is on the editorial boards of journals in philosophy and psychology.

Mary Target, Ph.D., is Reader in Psychoanalysis at University College London and an Associate Member of the British Psychoanalytical Society. She originally trained as a clinical psychologist. She is Professional Director of the Anna Freud Centre, Member of the Curriculum and Scientific Committees, Chairwoman of the Research Committee of the British Psychoanalytical Society, and former Chair of the Working Party on Psychoanalytic Education of the European Psychoanalytic Federation. She is a member of the Research Committee (Conceptual Research) of the International Psychoanalytic Association. She is Course Organizer of the UCL MSc in Psychoanalytic Theory and Academic Course Organizer of the UCL/Anna Freud Centre Doctorate in Child and Adolescent Psychotherapy. She is Joint Series Editor for psychoanalytic books at Whurr Publishers. She has active research collaborations in many countries in the areas of developmental psychopathology, attachment, and psychotherapy outcome. She is Consultant to the Child and Family Program at the Menninger Department of Psychiatry at Baylor College of Medicine. Her most recent books include Evidence-Based Child Mental Health: A Comprehensive Review of Treatment Interventions (with P. Fonagy, D. Cottrell, J. Phillips, and Z. Kurtz, published 2002 by Guilford), Psychoanalytic Theories: Perspectives from Developmental Psychopathology (with P. Fonagy, published 2003 by Whurr Publications), and Affect Regulation, Mentalization, and the Development of the Self (with P. Fonagy, G. Gergely, and E. Jurist, published 2002 by Other Press), which received the Gradiva Prize of the National Association for the Advancement of Psychoanalysis for the Best Theoretical and Clinical Contribution of 2003.

Acknowledgments

We would like to acknowledge first of all our gratitude to our patients; some of the ideas in this book have been prompted by our clinical work, and one important yardstick in judging the ideas is whether they can help us better to understand our experiences with patients past, present, and future. We hope that our efforts toward new theoretical understanding have sometimes benefited them in turn.

This book could not and would not have been produced without the outstanding contribution of Dr. Elizabeth Allison, the Publications Editor of the Psychoanalysis Unit at UCL. Her contribution went very significantly over what might be expected from someone in this role. She effectively conceived and organized the project, as well as offering superb advice on the integration of the chapters and the dovetailing of arguments. We are sure that many gaps have remained, but the level of integration we were able to achieve is in large part due to her remarkable intellectual abilities and brilliant editorial skills. What is more, she was able to impose her editorial and intellectual discipline on all of us with charm and sensitivity. Liz, we are all immensely indebted to you.

In writing this book we have been immensely fortunate. Lizs predecessor in the Publications Editor post was Kathy Leach, whose contribution was enormously valuable, not only in the planning phases of the project, but also in preparing for publication many of the pieces on which the present work relies. Our only regret is that despite ingenious, tactful, and sometimes desperate efforts to keep the production of this book to schedule, we were not able to reward her with a complete manuscript.