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A Basic Theory of NeuropsychoanalysisA Cursing Brain?A Dream of Undying FameA Map of the MindAfter LacanAgainst AdaptationAgainst FreudAn Anatomy of AddictionAnalytic FreudAndré Green at the Squiggle FoundationAnger, Madness, and the DaimonicAnna FreudAnna Freud: A BiographyApproaching PsychoanalysisAttachment and PsychoanalysisBadiouBecoming a SubjectBefore ForgivingBerlin PsychoanalyticBetween Emotion and CognitionBeyond GenderBeyond SexualityBeyond the Pleasure PrincipleBiology of FreedomBoundaries and Boundary Violations in PsychoanalysisBuilding on BionCare of the PsycheCarl JungCassandra's DaughterCherishmentConfusion of TonguesContemporary Psychoanalysis and the Legacy of the Third ReichCrucial Choices, Crucial ChangesCulture and Conflict in Child and Adolescent Mental HealthDarwin's WormsDesert Islands and Other Texts (1953-1974)Dispatches from the Freud WarsDoes the Woman Exist?Doing Psychoanalysis in TehranDreaming and Other Involuntary MentationDreaming by the BookEnergy Psychology InteractiveEqualsErrant SelvesEthics and the Discovery of the UnconsciousEthics Case Book of the American Psychoanalytic AssociationFairbairn's Object Relations Theory in the Clinical SettingFed with Tears -- Poisoned with MilkFeminism and Its DiscontentsForms of Intersubjectivity in Infant Reasearch and Adult TreatmentFour Lessons of PsychoanalysisFratricide in the Holy LandFreudFreudFreudFreudFreudFreudFreud and the Question of PseudoscienceFreud As PhilosopherFreud at 150Freud's AnswerFreud's WizardFreud, the Reluctant PhilosopherFrom Classical to Contemporary PsychoanalysisFundamentals of Psychoanalytic TechniqueGenes on the CouchGoing SaneHans BellmerHappiness, Death, and the Remainder of LifeHate and Love in Psychoanalytical InstitutionsHatred and ForgivenessHealing the Soul in the Age of the BrainHeinz KohutHeinz KohutHidden MindsHistory of ShitHope and Dread in PsychoanalysisImagination and Its PathologiesImagine There's No WomanIn Freud's TracksIn SessionIn the Floyd ArchivesIntimaciesIntimate RevoltIrrationalityIs Oedipus Online?Jacques LacanJacques Lacan and the Freudian Practice of PsychoanalysisJung and the Making of Modern PsychologyJung Stripped BareKilling FreudLacanLacanLacanLacan and Contemporary FilmLacan at the SceneLacan For BeginnersLacan in AmericaLacan TodayLacan's Seminar on AnxietyLawLearning from Our MistakesLove's ExecutionerMad Men and MedusasMale Female EmailMelanie KleinMemoirs of My Nervous IllnessMental SlaveryMind to MindMixing MindsMoral StealthMourning and ModernityMovies and the MindMurder in ByzantiumNew Studies of Old VillainsNocturnesNoir AnxietyOn Being Normal and Other DisordersOn BeliefOn IncestOn Not Being Able to SleepOn the Freud WatchOn the Way HomeOpen MindedOpera's Second DeathOvercoming Destructive Beliefs, Feelings, and BehaviorsPhenomology & Lacan on Schizophrenia, After the Decade of the BrainPhilosophical Counselling and the UnconsciousPractical Psychoanalysis for Therapists and PatientsPsychiatry, 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the SelfThe Cambridge Companion to LacanThe Challenge for Psychoanalysis and PsychotherapyThe Clinical LacanThe Colonization Of Psychic SpaceThe Condition of MadnessThe Couch and the TreeThe Cruelty of DepressionThe Dissociative Mind in PsychoanalysisThe Dreams of InterpretationThe Examined LifeThe Fall Of An IconThe Freud EncyclopediaThe Freud FilesThe Freud WarsThe Fright of Real TearsThe Future of PsychoanalysisThe Gift of TherapyThe Heart & Soul of ChangeThe Knotted SubjectThe Last Good FreudianThe Letters of Sigmund Freud and Otto RankThe Mind According to ShakespeareThe Mystery of PersonalityThe Mythological UnconsciousThe Neuropsychology of the UnconsciousThe New PsychoanalysisThe Power of FeelingsThe Psychoanalytic MovementThe Psychoanalytic MysticThe Psychoanalytic Study of the ChildThe Psychoanalytic Study of the ChildThe Psychodynamics of Gender and Gender RoleThe Puppet and the DwarfThe Real World Guide to Psychotherapy PracticeThe Revolt of the PrimitiveThe Seminar of 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CherishmentReview - Cherishment
A Psychology of the Heart
by Elisabeth Young-Bruehl and Faith Bethelard
Free Press, 2000
Review by Dan L. Rose, Psy.D.
Feb 21st 2000 (Volume 4, Issue 8)

When thinking of descriptors or key concepts related to psychoanalysis, I suspect one seldom thinks of love. My guess is that sex, aggression or even hate and envy are more likely to register, these being the emotions most ubiquitous in psychoanalytic writing. However, as infant research has grown more sophisticated and developmental research has given us an increasingly more accurate picture of the impact of care giver on both physical and mental health, something like love is stirring among psychoanalytic circles. Elisabeth Young-Bruehl and Faith Bethelard’s book Cherishment: A Psychology of The Heart reflects just such a trend.

The book is an attempt to redefine psychoanalytic developmental theory through the lens of the eastern notion of "cherishment," or the expectation to be loved. This eastern construct, according to the authors, has been an accepted part of Japanese child rearing (the Japanese word being amae), at least until recent incursions of western technique. This technique involves nourishment or respect for dependence, meeting the needs of the infant so that he can "grow without needing or asking help." The authors illustrate the nature of cherishment by describing a Japanese girl's realization that, despite the difficulty her diminutive grandmother had in continuing to carry the girl on her back, the grandmother continues until the child decides to carry herself. Patients in psychoanalysis, according to the authors, are often people who were never given such unconditional care and, as a result, seek such contact in treatment. Young-Bruehl and Bethelard cite Takeo Doi, a Japanese psychoanalyst and practitioner of Amae Psychology, as an early pioneer of the use of this notion with patients.

In the beginning of the text, the authors trace connections between psychoanalytic constructs that come close to describing amae, namely Ferenzi's "passive object love" and Michael Balint's notion of the basic fault. The authors then carefully compare and contrast Freudian theory, moving chapter by chapter throughout the lifespan. At each stage, the authors illuminate the need for dependence and argue how western culture's insistence on independence creates complications in development. Young-Bruehl and Bethelard pull liberally from their practices, using examples of clients in there care to stress how lack of "cherishment" has derailed their lives and how its use in a clinical context is necessary for change.

I suspect that psychoanalytic practitioners (the assumed target audience) of many stripes will have trouble with the central concepts of the text. Those who favor the reduction of conflict or a move towards greater autonomy as central to mental health will be off put by the emphasis on passivity. Furthermore, suggestions of needing to directly meet the needs of patients will horrify those practitioners and theorists who insist that the therapist maintain neutrality or distance from client needs. There is certainly an at least implicit suggestion that some level of emotional gratification is necessary for the patent to "get better." Such a suggestion is anathema to old guard psychoanalytic thinkers, smacking of Carl Rogers like blasphemy, and might also be heralded as one more post-modern attempt to water down tried and true psychoanalytic insights in favor of touchy feely, pop psychology. This is, ultimately, for the reader to decide.

There is much to recommend in this text. For example, the book is written in an interesting style. While many texts on development and psychotherapy are dry and jargonistic (psychoanalytic books being the worst offenders), this book is composed with a highly informal (no footnotes or references), conversational style that unfolds much like a novel. The reader is allowed a front row seat in the minds of the writers as they struggle with and grow from the very book they are writing. There is a level of tension, much like a mystery novel or thriller, that is created and sustained as the book's conversational style draws the reader in. All these literary devices would seem superficial or clichéd to the serious reader if not for the authors' obvious clinical competence and theoretical knowledge. Despite straying from standard scholarly text, this is not a superficial book. Above all, the book will move the non-professional to reconsider accepted negative notions of dependency and the psychotherapist to reconsider intervention in light of the need for dependent connection.
 
 

Dan L. Rose, Psy.D. is a Clinical Psychologist involved in direct clinical work and training at Columbus State University and in private practice. His interests include psychoanalysis, neuroscience, religion and literature.

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