Show Notes
Dr. Carveth discusses the differences between guilt that reflects concern for the other and alternatively self-abuse that serves narcissistic purposes. The former relates to Klein's depressive/reparative stage, labeled 'conscience' by Carveth, and the latter derives from the paranoid/schizoid position, labeled 'superego'. We review varying technical approaches to each of these clinical presentations and note that the countertransference provides vital guidance in understanding the state of the analysand's mind. We close by considering how the capacity to bear guilt may be a measure of the maturation of a civilization.
More from Psychoanalytic Thinking with Dr Don Carveth
Correction: not a one-way progression from knowing to being but a dialectical integration of knowing and being. Although my technique has always been relational (vs. still face, cold fish, abstinence, neutrality, non-self-revealing), Freudian and Kleinian work on enhancing self-understanding remains essential, as does the conscientious critique of the superego. In liberating conscience one is emancipating the true self.
First as a Freudian, then a Kleinian, the technique was "enlightening." With Winnicott, Kohut and Bion it shifted from knowing to being.