PSYCHODRAMA AND
PSYCHOANALYSIS
(A panel presented at the 2010 annual conference of the
American Society of Group Psychotherapy & Psychodrama,
Adam Blatner, M.D. (moderator), Amy Schaffer, Dominick Grundy, Leonia
Kurgan, & Anath Garber
April
22,
2010 (see below to links to Dr. Grundy's and Dr. Shaffer's
papers)
AB:
Psychoanalysis has evolved for over a century and has come up with a
range of insights about depth psychology and the nature of the helping
relationship that can inform the practice of psychodrama. There may be
a variety of concepts and techniques developed by Moreno and his
successors that in turn might be useful to those who practice
one-to-one or group therapy. The two fields are not infrequently mixed
in South American and Europe.
Today we'll hear from some people who have had training and experience
in both fields.
The historical tension between psychodrama and psychoanalysis has eased
with the evolution of both approaches. The presenters have extensive
experience with both approaches, and will address issues such as
transference and role reversal, countertransference, self-states and
roles, and the function of metaphor. Participants will learn how to
incorporate an understanding of these concepts into their theory and
practice. Didactic presentations will be followed by discussion.
The panel will include:
Adam Blatner, M.D., TEP, Retired, author of major textbooks on
psychodrama and recipient of the Moreno Award.
Amy Schaffer, Ph.D., has been certiified as a TEP in
psychodrama, and is also a licensed psychologist and a certified
psychoanalyst. After a brief career in experimental psychology, she
started psychodrama training in 1967. She practiced psychodrama in
numerous settings for 20 years while also teaching at Marymount
Manhattan College and NYU. She currently teaches and supervises at two
psychoanalytic institutes, has a private practice, and leads
supervision groups. Faculty &
Supervisor, Institute for Contemporary Psychotherapy; Faculty &
Supervisor, Psychoanalytic Psychotherapy Study Center. Dr. Schaffer has
has published
papers on both psychodrama and psychoanalysis. Email:
<amyschaffer@msn.com>
Dominick Grundy, Ph.D., CGP is a
psychologist licensed in New York and is a group psychotherapist
certified by the American Group Psychotherapy Association. He received
psychodrama training at the Institute for Sociotherapy, practitioner
level, in the 1970's. In addition to his psychology Ph.D., he holds a
Ph.D. in literature. He has a private practice in Manhattan and,
combining his two fields of interest, also leads groups for writers. He
is the editor of GROUP, a scholarly journal for group therapists which
recently published an issue on psychodrama. Dr Grundy
is also the editor of a
scholarly
quarterly journal for group therapists, titled. GROUP
(The Journal of the Eastern Group Therapy Association).Email:
grundyd4@earthlink.net
(Website: www.dominickgrundy.com
) (See below for link to his presentation on another
webpage.)
Leonia Kallir Kurgan, Phd., PsyD., CP., is in private
practice in Santa
Monica, California, she is a member of Los Angeles Institute and
Society for Psychoanalytical Studies, also of the International
Psychoanalytic Association, and an adjunct instructor who offers them
an eight-week class in psychodrama. She has
facilitated psychodrama workshops on “The favorite fairy tale of
childhood” in Cape Town, South Africa; Los Angeles, Berkeley and
Seattle. She presented locally and nationally at ASGPP
conferences, and interviewed holocaust survivors in Stephen
Spielberg¹s Shoah project. In May of this year she will present at
Wright Institute, Los Angeles. The course title is “The
Intergenerational Transmission of Trauma: The Holocaust in Several
Generations.” Email: leoniak1@verizon.net
Anath Garber, TEP, was trained by JL and Zerka Moreno. She was on the
faculty of Moreno Institute in New York City, where sesions open to the
public were run nightly. Anath has conducted trainings, workshops and
presentations nationally and internationally. She has a private
practice in New York City where she offers experiential therapy
blending many modalities.
I’m Adam Blatner, a retired psychiatrist, a TEP, and the author of
major books in psychodrama. Plenty about me on my
bio wepage.. I want to promote the integration of psychodrama with
other approaches.
4/7/10: Adam Blatner’s
Comments:
Thoughts on Psychoanalysis
Psychoanalysis has emerged in this last century as a vast field
with
many facets. I find it impossible to make firm generalizations. For me,
its chief value is that it represents a cultural thrust that I call
“psychological-ization,” a word I use to describe the penetration of
the norm of introspection in culture. Freud was by no means the first
to do this, but his approach has stimulated the most systematic
approach to this general idea. The key point is to call into question
the very fact of consciousness—what you see is not what you get. There
are many forms of self-deception operating.
Freud likened himself to other paradigm-shifting pioneers such as
Darwin and Copernicus, the former suggesting the dynamics of evolution
and de-centering humanity as absolutely special; the latter suggesting
a sun-centered solar system rather than an earth centered (heliocentric
versus geocentric) system, thus de-centering humanity as the center of
Creation. Freud de-centers rational, insightful man as the absolute
determiner of his fate, and notes that humans are often driven by
forces and deceived by defensive patterns beyond their awareness.
Further studies by Freud’s followers expanded on this general theme,
even though Freud often perceived these additions as mere rebellions of
disaffected sons or deviations. Nevertheless, the field has added to
its awareness of the variety of motivations and the variety of modes of
self-deception, as well as refined its approaches. I want to add that
once this idea took hold, a goodly number of people later on have
expanded the idea beyond self-deception: People also manipulate each
other, consciously and unconsciously, and this is further done in
groups and society in general. Studies on semantics, advertising,
propaganda—all mirroring the ancient study of rhetoric, let me point
out—all speak to patterns of collective self-deception that deserve a
similar process of being called into question, critically analyzed,
deconstructed. Further research on semiotics (the power of images),
communications and media studies, comparative anthropology and
mythology, historiography, and philosophy have all supported this basic
general idea: Let’s look more closely at what seems to be common sense
and we discover a profound penetration of ordinary awareness with a
wide variety of illusions.
In my thinking, a significant part of the challenge of further
consciousness evolution involves the continuing identification of
subtle patterns of self-deception, artificial inhibitions, oppressions,
and other patterns of mental taboo. As has happened in the medical
fields of bacteriology and related subjects, the more one knows what
specifically can cause problems, the better one is able to counter
these potential sources of disease.
Nor is it wise to seek to be free of all illusion. Using an analogy in
medicine, it may not be wise to attempt to be free of all infective
agents. A certain amount of them keep the immune system in good tone.
So the challenge is to fight the more noxious elements while allowing
for an ongoing process of low-grade immunization. Translating this
metaphor to psychology, I suspect that it is impossible to truly
achieve an illusion-less state. Those who pride themselves on seeking
this may be suffering from an illusion that such a state is not itself
an illusion. Perhaps it’s better to seek a more modest goal, which
would be the replacement of destructive illusions with more
constructive ones.
Building on this, the act of analysis and deconstruction of patterns of
self-deception, the skills of critical thinking applied even to one’s
own thinking, while beneficial, should be recognized as only part of
the challenge. There are a number of skill-building activities
described in recent trends in what has come to be known as positive
psychology and a variety of other approaches that further develop the
more constructive processes of maturation and the development of
optimal health and resilience. These are not specifically addressed in
this paper or panel, but deserve to be recognized as being an important
part of a holistic psychotherapeutic or life regimen.
Thoughts on Meta-Theory
In a similar vein, while honoring many of the contributions of
psychoanalysis, and noting that, comparatively, it offers a more
vigorous system of psychological development than many other
approaches, it should not be seen as complete or definitive. Adler adds
certain elements, as do others. My research into play reminds us that
we should include the development of the capacity to prentend, to think
of the category of “as-if” as a developmental line. We are increasingly
becoming aware of the rich growth of social sensitivity and the depth
of relationships, and Moreno added a good many valid insights into the
growing pot of ideas.
As I have commented on in an article on meta-theory in a recent
anthology of writings on theory in psychodrama, I don’t think it’s
necessary or wise to seek to have an overly “tight” theory of human
psychology. There are so many aspects to be considered. In medicine—the
field of my professional background—there is no single theory of
disease, and even physiology is quite varied depending on the organs
being described. Some organs function based on physical or chemical
principles that are fairly irrelevant to the function of other organs.
The key is to appreciate that in psychology, different roles or
perspectives might call on different sets of principles, and that’s all
right.
What Does Psychoanalysis Have to Offer Psychodrama
I think psychodrama as a field should be open to the theoretical
and
sometimes practical or therapeutic techniques developed in other areas.
There is a danger that comes from being aware that one knows certain
things that aren’t taught in other approaches: One can slip pridefully
in thinking that one knows more than is in fact true. It is wise to
keep an open mind, a curious attitude that seeks to wonder what we
might find useful as we develop our own expanding understanding of
human nature.
For me, I find the descriptions of the defense mechanisms as forms of
self-deception particularly informative. Once this general idea and
some examples are appreciated, it’s possible to notice variations and
subtle alternatives that psychoanalysts may have overlooked. I describe
some examples in a related paper and my presentation at the panel.
Basically, imagining these maneuvers to be tempting little voices,
sabotaging sycophants, roles that can be played, leads one to hear and
identify their underlying deceptive dynamics. Knowing more of how they
work, how they mix and match and cleverly combine with each other, a
trained auxiliary or double can employ them to bring forth more of the
authentic texture of personal conflicts in psychodramas.
What Does Psychodrama Have to Offer Psychoanalysis
The list here is significant: Making creativity a core value and
promoting spontaneity as an associated ability seems especially
significant and an expression of a humanistic edge in psychology.
Moreno further considered the dynamics of spontaneity and noted the
need for warming up, itself a multi-faceted and complex process. The
whole business of sociometry opens up the rich vein of feelings
associated with liking, being liked, fears of not being liked enough,
mixed feelings about being liked for qualities peripheral to one’s
values, feeling hurt that someone likes others, being unclear about
what liking is even about, and on and on. I consider it a dimension of
depth psychology as rich as Freud’s thoughts about psycho-sexual
development.
Moreno was also aware more sharply of the degree to which humans are
socially embedded, and in effect challenged the prevailing world view
that over-emphasized the autonomy of the individual. That re-balancing
still is needed today. His theories of group dynamics were also a
challenge to the subtle residues of authoritarianism that pervaded
medicine and psychiatry as well as the rest of culture.
Moreno’s ventures into theology as a young man have further emphasized
the inter-disciplinary nature of his work. Psychodrama is only one
focused manifestation. He anticipated in a way several aspects of
contemporary transpersonal psychology, including the healing power of
authentic dialogue (he called it encounter), and the recognition that
in discovering our own creative potential we also partake in the
spiritual realm.
There are other contributions, also, but it suffices to note that as
rich as psychoanalysis has been as field, there are other fields that
are also surprisingly rich. My own inclination is to keep learning what
others have to say. As in the history of medicine, breakthroughs often
come from people outside of the mainstream.
Doubling the Defenses: (What Adam Blatner presented on the
panel:)
Moreno unfortunately and unnecessarily devalued psychoanalysis
because he wanted to contrast his active method with the technique
analysts in his era used—the lying on the couch. There were other
points of disagreement, also, but what is being presented here is that
the two fields really have the potential for creative synthesis and
cross-fertilization.
One example of this is a category of understandings that I personally
have found to be among the most useful ideas I get from psychoanalysis:
the so-called defense mechanisms, such as repression, identification
with the aggressor, and so forth.
Calling them “mechanisms” tends to depersonalize them, though: Applying
role theory, a role is anything that can be portrayed dramatically, and
I easily imagine a character—say a somewhat humanoid elf or imp—being a
sort of seducer, sitting like a devil on the left shoulder of a
person—as in a certain genre of cartoon—or played out by the comedian,
the late Flip Wilson, when the Devil would seduce his character of
Geraldine into a store to buy a hat she couldn’t afford.
I think knowing about the various defenses—the inner manipulations, the
adjustive maneuvers, the games people play in their own minds—might
really help in the training of auxiliaries, those who might learn to
double more effectively. What do people say to themselves? Well, lots
of things, but working from cues, and knowing about the defenses that
will be mentioned below and many others, protagonists can be helped to
realize the various ways they avoid, rationalize, or in other ways cope
with uncomfortable feelins or perceptions.
Consider that all the defenses can be brought to life, dramatized, as
roles, perform-able roles. Repression, suppression, projection,
de-realization, and so forth.
On my website under the section on psychology there is a paper called
“self-deception” that lists all these defenses.
It is good to help clients and in the training of therapists to
recognize these roles—they’re more personal than mere mechanism. One
cannot simply know about them—it is better to encounter them, because
unlike mechanism, they can be spontaneously varied. The subconscious
mind is trying to get its way, trying to manipulate the conscious mind
to collude in its desire to avoid, numb, deny, counter, and in other
ways generate a variety of illusions that protect its nefarious aims.
The unconscious is to some degree ruled by the ego in service of the
id, in service of avoiding superego, or rational analysis. Sometimes it
serves superego, interestingly enough, trying to generate illusions
that will mollify superego demands.
This part of the ego is at once very very clever and at the same time
operating from the mentality of a child. Life is too difficult to think
out rationally, categories are simply either-or, and other people are
too simple—either bad, and deserving of manipulation, or good, and
worthy of expecting that they can read your mind. The idea of having to
“use your words” to negotiate, to role reverse, to encounter and
consider their point of view—all that is too grown up. There’s been
little modeling or opportunity to practice such skills for many people,
so they use what primitive coping techniques they can.
So imagine the various “defense mechanisms” as a retinue of servants
who, like the secret service does for the President, steps up to “take
the bullet.”
I only have a few minutes and more of this talk can be found on my
website—details about how the various defenses may be framed as roles.
Just a couple of points. First, about avoidances, avoiding
maneuvers, defense mechanisms, is that these are mental adjustments
that everyone—yes, even Zen Buddhist masters—use, if only a tiny bit.
It’s not just for those who are in the patient role.
Both Freud and Moreno are complex characters and they elaborated
hundreds if not thousands of ideas. They also lived complex lives.
Complexity means that it’s entirely possible that a person and his or
her ideas can be so varied that some are brilliant and astute, some are
mid-ranged, and some are mistaken or foolish. That one can be right
about some things doesn’t mean that he can’t be wrong about some
things.
Of all the things I think Freud was right about, his right-ness peaks
about the following: Everyone, every single person, is laced with
irrational patterns of behavior. In more healthy people, these patterns
have less influence on their outward behavior—but they continue to
operate in the background. Part of health, indeed, involves having a
sort of spam-guard, a virus-protection system—using computer metaphors.
The childish unconscious, the inner brat, will try to assert itself. In
healthier people, it’s relatively well contained, but by no means
moribund. Knowing that it’s there as at least a potential inner
saboteur is a hallmark of self-awareness.
Saying it another way, when you know that there is deceit,
manipulation, con-artists, hypocrisy, and other pitfalls in the world,
it need not lead to a loss of deep faith, but it does require a
relinquishment of the type of superficial and naive faith that relies
of what Blanche Dubois in Streetcar Named Desire called “the kindness
of strangers.” One needs to recognize this operating within oneself,
too.
The Victorian mind didn’t recognize that people could be good and noble
and also depraved— both. Well, Stephenson’s Dr Jekyll and Mr. Hyde sort
of suggested this, but it wasn’t in the popular worldview. Freud
affirmed this, and because of all his other theories and the language
and structure they’re embedded in, it’s often difficult to appreciate
this simple truth. We all not only have issues, but we’re tempted to
use a raft of immature modes of thinking and reacting to cope with
them. Health involves knowing about these temptations and knowing how
to detect, identify, and resist them. It also involves learning a
number of alternative healthy responses so that one doesn’t need so
much to fall back on the neurotic ones.
On my website are various papers that speak to defenses, such as
– The five
levels of awareness
– The inner brat
– Self-deception.
These are in the section not on psychodrama but on psychology or
psychotherapy. Point is that they can be demonstrated and learned
better using role playing.
Other Notes by Blatner:
Psychoanalysis should be recognized as a very multi-faceted
development. Freud himself in his later years was not always
consistent with his earlier writings. The basic theory has been revised
by significant sub-groups, so that a number of trends emerged. More
recently, the sub-field called “relational psychoanalysis” has
recognized that there are good perspectives in each of these
developments and that they may be entertained within a broader
theoretical construct that includes the potential for integration. Ego
psychology focused on the defenses rather than the drives, and the
elucidation of ways we deceive ourselves offers a rich matrix of
insight that I find particularly useful.
The object relations school of psychoanalysis emerged in the 1950s,
based on other work, gained strength, and became dominant in the
mid-1970s. At that time, Heinz Kohut was elaborating and developing
self-psychology. For a while the two approaches competed with each
other, but I find them complementary and capable of including also
other approaches. The object relations school notes that the need to
establish and maintain a sense of adequate social connectedness was
pretty basic; the self psychology school noted that the need to
establish and maintain a sense of self as coherent and valued is
equally basic. I’m not certain that there’s much value in making a
hierarchy of basic needs—it seems to me that some folks need certain
things more than others.
Other recent developments have broken out of the classic
psychoanalyst-as-silent role and made the interaction more mutual.
“Inter-subjectivity” applies to the activity of looking at how two
people experience the same situation or interpret a given behavior.
This has brought psychoanalysis more into the interpersonal. Some
analysts have also speculated on and worked with group dynamics, the
point being that depth psychology is venturing beyond the intra-psychic
into the more complex social field.
I think sociometry addresses a group of dynamics that needs to be
recognized as being as relevant and powerful as sexual dynamics. The
point is that these themes should become part of the teaching of any
depth psychology. The formal method of sociometry may not be required
any more than therapy must utilize a couch, but its subject
matter—feelings of attraction, repulsion, and associated feelings of
guilt, shame, vulnerability, wanting, confusion, etc., should be
attended to.
(This is very provisional and just to give you an idea of what we might
post here: Your thoughts, what you'll be saying, and also more than you
can say. This is a good place to post references you'd like people to
know about.)
Oppression, Depth Psychology and Cultural Repression
I define oppression as a social system in which a fair number of
people are unfairly disadvantaged while others are privileged; and few
people involved are aware that the system does not have to be
structured this way.
One interesting definition of Passover that makes it relevant for our
time is that it addresses the slavery in Egypt as being a symbol of the
degrees to which we allow ourselves and our minds to be enslaved by any
idea, person, group, task, etc. The concept of the “slave mentality”
has great relevance for our era. In many cultures, slaves come to
accept their status, and there’s an interesting exchange: Sure, there
are many disadvantages, but there are certain advantages. One need not
have to struggle to “find oneself,” make the “hard choices” of what to
work at, how hard to work, when, where to live, etc. There’s a certain
comfort in a degree of passivity.
In truth, many roles in our lives work this way: Having accepted or
even decided on certain courses, we often buy into whatever seems to be
required to play that choice out, never thinking about questions like,
“Is this relevant?” “Is this needed?” “What is the purpose here?” and
so forth. Rather than clearly being slave or free, people play many
roles, and some of them seem free, but in certain respects there’s a
repression or denial of constraints that may not be fixed—though it
seems that way.
In oppression, most people think it just is that way, it has always
been that way. It’s moderately inconceivable to imagine an alternative.
As time passes, trouble-makers raise provocative questions, and in time
what is a system of oppression becomes controversial. These
controversies may be laced with episodes of harsh revolutions and
suppressions, but in time controversies come to emerge as a new idea
and re-establish some equilibrium. I’m thinking of the more obvious
forms of oppression in history such as the tyranny of absolute kingship
and aristocracy, slavery, torture as a part of judiciary practice or
punishment, the subjugation of women, gross and then more subtle forms
of racism and other types of prejudice, and so forth. I’m also noting
that as the concept of oppression is broadened, there may be a much
wider range of what I call subtle oppressions and even arguable
oppressions—the latter referring to when many of those who are said to
be oppressed would deny it and claim that they are freely choosing
their status.
I am not insistent on the need to be right or to have the authority to
decide. It is enough to get the conversation started, to explore
cultural taboos, whether various forms of “common sense” really do make
sense, to revise social norms, weighing all sides. (It’s an obvious
theme for sociodrama.)
Regarding depth psychology, let me note that many issues today aren’t
repressed so much as simply haven’t been within the cognitive field
previously. When I was young, homosexuality was a marginalized category
and I really gave it hardly any thought. Civil rights for homosexuals
was a non-issue. Becoming aware of this or any number other social,
ethical, and political issues introduces a de-stabilization of our
schema, our map of what the world is about and how it should be. For
this reason, culture change and oppression is relevant to
psychotherapists, especially in the postmodern era.
This is just a beginning.
Please suggest other questions and your
answers. If I use them, and with your permission, I'll append your name
to the answers. If you'd like to modify or revise my answers, please
let me know. If your critique is cogent and I use it, again I'll
mention your name if you like. Email me at adam@blatner.com
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