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Evaluating the Psychodynamic Approach
425 The Psychodynamic Approach John, 2005) According to object relations theorists, early relationships between infants and their love objects (usually the mother and other primary caregivers) are vital influences on the development of personality (Greenberg & Mitchell, 1983; Klein, 1975; Kohut, 1984; Sohlberg & Jansson, 2002). These relationships, they say, shape our thoughts and feelings about social relationships in later life. A close cousin of object relations theory is called attachment theory because it focuses specifically on the early attachment process that we describe in the chapter on human development. Ideally, infants form a secure bond, or attachment, to their mothers, gradually tolerate separation from this “attachment object,” and eventually develop the ability to relate to others as independent, secure individuals (Ainsworth & Bowlby, 1991). Attachment theorists have studied how variations in the nature of this early bond are related to differences in self-image, identity, security, and social relationships in adolescence, adulthood, and even old age (Consedine & Magai, 2003; Shaver & Mikulincer, 2005). In one study, women who had been securely attached in childhood were more likely to have happy marriages than women whose childhood attachments had been insecure (Klohnen & Bera, 1998). Another study found that people with insecure attachments were less likely to be helpful when they encountered a person in distress (Mikulincer & Shaver, 2005). Still other research suggests that children who, because of abuse, neglect, or rejection, miss the opportunity to become securely attached may suffer severe disturbances in their later relationships (Aizawa, 2002). Evaluating the Psychodynamic Approach Freud’s personality theory is probably the most comprehensive and influential psychological theory ever proposed. His ideas have shaped a wide range of psychotherapy techniques (see the chapter on treatment of psychological disorders) and stimulated the development of several personality assessments, including the projective tests described later in this chapter. Some of Freud’s ideas have received support from research on cognitive processes (Andersen & Chen, 2002). It appears, for example, that people employ several of the defense mechanisms Freud described (Cramer, 2003), although these may not always operate at an unconscious level. There is also evidence that our thoughts and actions can be influenced by events and experiences that we don’t recall (Andersen & Chen, 2002; Andersen & Miranda, 2000; Ferguson & Bargh, 2004) and possibly by emotions we don’t consciously experience (Winkielman & Berridge, 2004). However, Freud’s theories have several weaknesses. For one thing, his conclusions about personality are based almost entirely on case studies of a few individuals. As discussed in the introductory chapter, conclusions drawn from case studies may not apply to people in general. Freud’s sample of cases was certainly not representative of people in general. Most of his patients were upper-class Viennese women who not only had psychological problems but also were raised in a society that considered the discussion of sex to be uncivilized. Second, Freud’s theory reflected Western European and North American cultural values, which may or may not be helpful in understanding people in other cultures (Feist & Feist, 2002). For example, the concepts of ego and self that are so central to Freud’s personality theory are based on the self-oriented values of individualist cultures and thus may be less descriptive of personality development in collectivist cultures, such as those of Asia and South America (Matsumoto, 2000). Freud’s conclusions may have been distorted by other biases as well. Some Freud scholars believe he might have (perhaps unconsciously) modified reports of what happened during therapy to better fit his theory (Esterson, 2001; Powell & Boer, 1995; Schultz & Schultz, 2005). He may also have asked leading questions that influenced patients to “recall” events from their childhoods that never happened (Esterson, 2001). Today, as described in the memory chapter, there are similar concerns that some patients who recover allegedly repressed memories about childhood sexual abuse may actually be reporting false memories implanted by their therapists (Loftus, 2004). Freud’s focus on male psychosexual development and his notion that females envy male anatomy have also been attacked. In the tradition of Horney, some contemporary neo-Freudians have proposed theories that focus specifically on the psychosexual development of women (Sayers, 1991).