Articles by Dr. Robert W. Firestone

2014: "The Ultimate Resistance"
Published in Journal of Humanistic Psychology

Abstract:

Although resistance takes many forms, this article elucidates the primary source of resistance in psychotherapy as well as the fundamental resistance to leading a fulfilling life. The ultimate resistance to change, in both cases, originates in the anticipatory fear of arousing existential angst. To varying degrees, most individuals retreat from life and adopt defense mechanisms in an attempt to avoid reawakening suppressed feelings of terror and dread they experienced as children in early separation experiences, and, in particular, when they first learned about death. As clients dismantle their defenses during therapy and move toward increased individuation and self-fulfillment, these unconscious fears threaten to emerge into conscious awareness, and core resistances come into play. Certain events and circumstances, both positive and negative, arouse or intensify latent death anxiety, whereas other circumstances and defenses relieve it. There are numerous defenses that help ameliorate the core anxiety including the fantasy bond—an illusion of connection or fusion with another person, persons, groups, or causes—addictions, microsuicidal behavior, and literal and symbolic methods of denying one’s eventual demise. Although these defenses provide a measure of security and a sense of immortality, they adversely affect one’s psychological adjustment, emotional well-being, and interpersonal relationships.

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2002: "The Death of Psychoanalysis and Depth Therapy"
Published in Psychotherapy: Theory/Research/Practice/Training, 39 (3), 223-232

Abstract:

Notes that numerous attempts have been made to explain the demise of psychoanalysis and depth psychotherapy, placing blame on secularism among analysts, insufficient empirical research, prolonged treatment time, monetary considerations, and managed care. The author considers the primary cause to be an implicit cultural movement to squelch serious inquiry into family dynamics and interpersonal relationships, particularly the physical, sexual, and emotional abuse of children. To revive the humane practice of depth psychotherapy, therapists must support research that emphasizes the importance of early psychosocial environmental influences on personality development. Clinicians must also challenge restrictive societal pressure, sacred illusions concerning family life, and their own psychological defenses in order to reestablish a legitimate practice of depth therapy that moves away from the medical model. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1996: "The Origins of Ethnic Strife"
Published in Mind and Human Interaction, 7, 167-180

Abstract:

Group identification is a major cause of religious, racial, and international conflict. Many forms of group identification are fantasy bonds, imagined connections with others offering security at the expense of individual self-realization. The fantasy bond forms in childhood in response to inadequate parenting. Human beings are not inherently aggressive, but interpersonal tension in families leads to hostile and defensive behaviors first acted out on family members and later extended to outsiders. These bonds become reinforced as the child becomes aware of death’s inevitability. Social systems represent a pooling and projection of individual defense mechanisms into a cultural framework as mores, traditions, and secular religious beliefs. These traditions and beliefs become imaginary survival mechanisms for the individual, a way to deny death’s finality. Since they represent immortality, these world views are strongly defended by their adherents, who feel threatened by groups with other beliefs, and will fight to defend their point of view. The outgroup is seen as peculiar, impure, or evil. Outbreaks of violence will continue to be a problem until destructive child-rearing practices and social processes fostering aggression change, and death is accepted as the natural end of life. (Contains 109 references.)

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1994: "A New Perspective on the Oedipal Complex: A Voice Therapy Session"
Published in Psychotherapy, 31, 342-351

Abstract:

Presents clinical material using voice therapy, to elicit, identify, and counteract negative thought patterns. The case of a 38-yr-old man, who experienced suicidal impulses in competitive situations, illustrates the concept of “identification with the aggressor” in relation to a father’s angry, rivalrous feelings toward his son. The author discusses the dynamics operating in families where immature or insecure parents compete with and show resentment toward the child of the same sex and direct overt or covert aggression toward him/her. Later, the internalized aggression emerges as a negative thought process when the individual strives to achieve personal or vocational goals. An exploration of the theoretical implications of the case contributes to an understanding of unresolved Oedipal issues that can affect young people at risk for suicide, particularly high-achieving adolescents who seemingly have everything to live for. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1993: "Two Modes of Sexuality"
Published in ERIC

Abstract:

This paper describes the essential difference between two modes of sexual relating: (1) a personal, outward style of interaction that is the natural extension of affection, tenderness, and companionship between two people; and (2) an impersonal, inward, more masturbatory expression in which sex is used primarily as a narcotic. The origins of self-gratifying modes of sexuality can be traced to the “self-parenting” process: a core, psychological defense formed early in childhood in which children learn to “parent” themselves, both internally in fantasy and externally by utilizing objects and persons. This adaptation later becomes externalized in an adult’s intimate relationships. This manner of sexual relating is characterized by elements of sexual withholding and control, a reliance on fantasy with corresponding emotional distancing, and the intrusion of negative cognitions during sex. The major distinction between self-gratifying modes of sexuality and more spontaneous, free sexual expressions is that the former represents the utilization of another person as an instrument to assuage primitive needs and longings. The only hope for a couple trapped in such a framework is for them to break out of the imprisonment of their defensive posture of self-parenting, and free themselves to move toward individuation and the possibility for genuine love.

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1993: "The Universality of Emotional Child Abuse"
Published in ERIC

Abstract:

Emotional child abuse is virtually inevitable in the context of the traditional nuclear family and often has a more detrimental effect on children than other, more widely publicized forms of maltreatment. This paper documents clinical, statistical, and empirical evidence showing that “normative” child-rearing practices in our culture have pathogenic properties and effects. Manifestations of emotional child abuse include: (1) behaviors based on parental hostility such as verbal abuse, sadistic socialization measures, lack of respect for the child’s personal boundaries, threat of abandonment, and stifling a child’s spontaneity; (2) destructive practices based on indifference and neglect, including excessive permissiveness and inconsistency; (3) behaviors based on ignorance, including dishonest role-playing, overprotection, and isolation; (4) overly restrictive or harsh moral codes; and (5) parents’ defenses and addictive patterns that are transmitted to their children. A number of factors are involved in the psychodynamics of emotional maltreatment: parents’ ambivalent feelings, the projection of parents’ negative traits onto children, the confusion between emotional hunger and genuine love, the exclusivity of traditional coupling, and the utilization of the child as a symbol of immortality. It is mandatory that we examine dehumanizing child-rearing practices delineated here in order to help future generations of children.

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1993: "The Psychodynamics of Fantasy, Addiction, and Addictive Attachments"
Published in American Journal of Psychoanalysis, 53, 335-352

Abstract:

Elucidates the relationship between fantasy and addiction and describes addiction as a primary function of the self-parenting process. In presenting a comparative model of mental health vs psychopathology in terms of the self-parenting process, the author discusses 3 categories of individuals: the person with extreme propensities for fantasy and isolation; the person who uses elements of reality primarily to reinforce and support an ongoing fantasy process rather than really investing in relationships and career; and the person who lives a realistic committed life whose actions match aspirations and capabilities. Three groups of addictive reactions associated with a self-nourishing lifestyle are discussed. A therapeutic approach (1) challenges and disrupts the addictive patterns and (2) encourages movement toward real gratification and autonomy in the external environment. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1990: "Prescription for Psychotherapy"
Published in  Psychotherapy, 27(4), 627-635

Abstract:

A systematic approach to therapy based on a comprehensive theory of psychopathology and a comparative model of mental health is set forth. Humans are conceptualized as in conflict between the active pursuit of goals in the real world, and an inward, self-protective defense system. The resolution of this conflict has a profound effect on an individual’s overall functioning. A case study illustrates a therapeutic process utilizing methods based on this theory.

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1990: "The Bipolar Causality of Regression"
Published in American Journal of Psychoanalysis, 50(2), 121-135

 

Abstract:

Regression may be precipitated by significant changes, both positive and negative, in an individual’s life. The author conceptualizes regression as the defense mechanism that is used to heal the fracture in the original bond with the mother caused by events, symbolic or real, that remind one of being separate and vulnerable to death. Guilt reactions, separation anxiety, and fear of death are increased by negative events such as illness, financial loss, failure, rejection, or death of a loved one. Regression may be activated as well by any significant positive experience or unusual achievement indicative of strength, independence, or personal power, that challenges an individual’s image of him/herself in the family. The paper delineates five stages of progressive retreat that characterize regressive episodes catalyzed by an atypical success or accomplishment.

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1989: "Parenting Groups Based on Voice Therapy"
Published in Psychotherapy, 26(4), 524-529

Abstract:

Voice therapy (VT) for parents can be used to break the cycle of emotional and physical abuse. During VT, parents (1) work on ambivalent feelings and attitudes toward themselves and their children, (2) recall painful events from their own childhoods, and (3) release the repressed affect associated with negative experiences in growing up. They also gain an understanding of the connections between their present-day limitations and the defensive patterns set up to cope with early trauma. They expose deficiencies in their families, thus breaking the idealization of their parents, and develop more compassionate child-rearing practices. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1987: "The 'Voice': The Dual Nature of Guilt Reactions"
Published in American Journal of Psychoanalysis, 47(3), 210-229.

Excerpt:

Human beings spend their lives in a restricted range of personal relationships and experiences. Their freedom and initiative are constricted by a self-destructive process. Furthermore, their internal conflict is primarily unconscious, and they are generally unaware of the circle of guilt that limits them.

Guilt reactions are mediated by an internal thought process or dialogue referred to here as the “voice.” The voice is a system of negative thoughts, antithetical to the self, that plays a major part in human suffering and significantly limits an individual’s goal-directed behavior. The voice represents the introjected negative thoughts and hostile attitudes of one’s parents, and it ranges from unconscious or subliminal to fully conscious. The form and substance of experience that people permit themselves is regulated by this system of self-accusatory thoughts and injunctions. To whatever degree these self-critical thoughts remainunconscious, they cause considerable damage, and the individual is unable to break the cycle.

The “voice” of the so-called normal or neurotic individual is directly analogous to the hallucinated voices of the schizophrenic person. The content of these voices, when analyzed, reveals the same regulatory process and is characterized by the same hostility and vindictiveness toward the self.

The concept of guilt refers to an insidious process of self-limitation and self-hatred that seriously restricts people’s lives. Out of a sense of guilt, people become self-denying, self-defeating, self-destructive, and even suicidal. The “voice” represents the thought process underlying the behavior noted above.

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1987: "Destructive Effects of the Fantasy Bond in Couple and Family Relationships"
Published in Psychotherapy, 24, 233-239

Abstract:

Points out the damage caused by the formation of a fantasy bond (FB) in marital and family process. The FB is formed by individuals in early childhood to compensate for emotional deprivation; imaginary fusion attempts to heal the fracture by providing partial gratification of primary needs, thereby reducing tension. The dynamics involved in forming an FB, the resulting symptomatology, and psychological damage both to the relationship and to the individuals involved are described. (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1986: "The 'Inner Voice' and Suicide"
Published in Psychotherapy, 23(3), 439-447.

Abstract:

Argues that despite the lack of reliable prognostic signs of suicide in the behavior of potential suicide victims, there is clinical evidence that the majority of these people are tortured by a subliminal voice or thought process that is degrading and derisive to the self. This pattern of thoughts is generally accompanied by depression and lowered self-esteem. Under certain conditions, this system of hostile thoughts becomes progressively ascendant until it finally takes precedence over thought processes of rational self-interest. It is suggested that using laboratory procedures, these thoughts can be formulated and brought directly into consciousness when they are put in terms of a “voice.” This voice is described as a core defense that originates in family interactions. The dynamics and probable sources of the voice are analyzed, and the relationship between this destructive thought process and actual suicidal behavior are explored. The case of a 30-yr-old woman who attempted suicide illustrates 3 levels of intensity of the voice in terms of affect. (32 ref) (PsycINFO Database Record (c) 2012 APA, all rights reserved)

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1984: "A Concept of the Primary Fantasy Bond: A Developmental Perspective"
Published in Psychotherapy, 21, 218-225

Abstract:

This article states a theoretical position that is the outgrowth of 27 years of research into the problem of resistance in psychotherapy. Resistance to change or progress is centered in the patterns of thoughts and behaviors that serve to protect a core defense. The article describes the formation of a “primary fantasy bond” (a delusion of being connected to the mother) which begins in infancy and persists as a defense throughout childhood and into adult life. The hypotheses presented are supported by data gathered from three sources: from schizophrenic patients in a residential setting, from neurotic and “normal” patients in private practice, and from colleagues and friends.

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drrobertwfirestone.com 2018