Freud and Science
Freud and Science
Freud, like Elvis, has been dead for a number of years but
continues to be cited with some regularity. Although the majority
of clinicians report that they rely to some degree upon psychodynamic I principles in their work (Pope, Tabachnick, & KeithSpiegel, 1987), most researchers consider psychodynamic ideas
to be at worst absurd and obsolete and at best irrelevant or of
little scientific interest. In the lead article of a recent edition of
Psychological Science, Crews (1996) arrived at a conclusion
shared by many: " [ T ] h e r e is literally nothing to be said, scientifically or therapeutically, to the advantage of the entire Freudian
system or any of its component dogmas" (p. 63).
Despite the explosion of empirical studies of unconscious
cognitive processes (see, e.g., Greenwald, 1992; Kihlstrom,
1987; Schacter, 1992), few reference Freud; none cite any contemporary psychodynamic work; and in general, psychodynamic
concepts are decreasingly represented in the major psychology
journals (Robins & Craik, 1994). The situation is similar in the
popular media and in broader intellectual discourse. Publications ranging from llme to the New York Review of Books
periodically publish Freud's intellectual obituary, with critics
charging that Freud's ideas--such as his dual-instinct theory
or his hypotheses about female personality development--are
seriously out of date and without scientific merit (e.g., Crews,
1993).
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ory resembles the view found in the popular media and in scientific journals. I recently asked a research assistant with access
to the latest editions of the major textbooks to conduct a brief
study of the index entries of 10 leading upper-level introductory
textbooks. Two of the 10 cited object relations theory, the major
development in psychodynamic theory over the past 30 years. Of
the 4 most prominent contemporary psychoanalytic theorists-Otto Kernberg, Heinz Kohut, Stephen Mitchell, and Charles
Brenner--Kohut was cited in 3 books, Kernberg and Brenner
were cited once each, and Mitchell was not cited in any. This
is analogous to presenting trait psychology without referencing
Costa and McCrae. My intention is not to lay blame here, which
lies equally with psychoanalysts who have made too much of
their work obscure to psychologists, but simply to demonstrate
the widespread nature of the problem. 2
Psychodynamic thinking has, in fact, continued to flourish
over the past decades and has been progressively converging
with the concerns of personality, social, and developmental psychologists (see Barron, Eagle, & Wolitzky, 1992; Westen,
1990a). This largely reflects three shifts. The first is the cognitive revolution, which brought mental processes, including unconscious processes, back into psychological discourse. Although this revolution began with cognition, the lifting of the
taboo on mental processes imposed by behaviorism has inevitably led to a renewed focus on affect and motivation, the primary
areas of psychodynamic interest. Indeed, as cognitive neuroscience progressively moves into these areas, it will probably have
to be renamed.
The second shift is that psychodynamic theory was not mummiffed and buried along with its founder 60 years ago. Psychoanalysis may have been "deconstructed," but it has not been
decomposing. For example, Freud's dual-instinct theory (involving sex and aggression) is the primary, if not the only,
psychodynamic model of motivation learned by most undergraduate psychology majors, because it is the primary one taught in
textbooks. Yet most contemporary psychodynamic psychologists hold that humans have a number of motives, many of them
rooted in biology but nearly all elaborated upon by culture and
experience. Whereas Freud emphasized the pursuit of sensual
and sexual pleasure, object relations theorists, self psychologists, and relational theorists have added a focus on needs for
relationships and self-esteem (see Aron, 1996; Fairbairn, 1952;
Greenberg & Mitchell, 1983; Kernberg, 1975; Kohut, 1977;
Sullivan, 1953). To reject psychodynamic thinking because
Freud's instinct theory or his view of women is dated is like
rejecting modem physics because Newton did not understand
relativity.
The third shift is epistemologicaL For years, many in the
psychoanalytic community have treated psychoanalysis as a religion and have been more interested in protecting than testing
psychoanalytic dogma. This has clearly contributed to the widespread distaste for psychodynamic concepts in academic psychology. Far too many analysts continue to ignore or disparage
efforts to test their theories as the folly of ignorant infidels
and to dismiss alternative hypotheses, conceptualizations, and
treatment techniques--and they do so at the peril of their patients. However, the infusion of psychologists into psychoanalysis over recent decades (and to some extent the increasing medicalization of psychiatry) has led to a greater appreciation for
empirical work, an acknowledgment that psychoanalytic propositions do not rise and fall solely on the basis of their perceived
clinical utility, and a recognition that "I had a patient once" is
not the firmest of epistemological foundations. Conversely,
many cognitive researchers have begun paying greater attention
to the ecological validity of experimental work on thought and
memory, which is leading to, among other things, a heightened
focus on affect and motivation, the central domains of psychoanalysis (e.g., Ceci & Bronfenbrenner, 1991; Neisser, 1991;
Stein, 1997).
The aim of this article is to reconsider Freud's legacy, not
by arguing about the validity of 1920s psychoanalysis but by
considering the relevance of contemporary psychodynamic theory for psychological science in the 21st century. The article
begins by presenting five core theoretical tenets that define current psychodynamic thinking and briefly considers the empirical
evidence with respect to their validity. Although all of these
propositions trace their lineage to Freud and were important to
the way he understood the mind, Freud undoubtedly would have
identified other propositions he considered central as well, such
as his drive theory. These five tenets, however, are the psychodynamic propositions that have best stood the test of time, as
reflected in their widespread acceptance among psychoanalysts
and psychodynamically oriented clinicians and theorists a century after Freud began writing. The article concludes by illustrating the way psychological science might be enriched by incorporating some of the insights that have emerged from 100 years
of psychoanalytic inquiry, using as examples research in social
cognition and models of parallel distributed processing in cognitive science.
Will the Real Psychoanalysis Please Stand Up?
Five Postulates That Define Contemporary
Psychodynamic Theory
Psychoanalysis was once a single theory, identified with its
founder and his particular ideas, so that summarizing its basic
tenets was once less problematic. Today the situation is different,
with no single theory dominating even the mainstream psychoanalytic journals let alone the thinking of those who consider
themselves more broadly psychodynamic. Nevertheless, all psychodynamic theorists generally adhere to five propositions. First,
and most central, much of mental life--including thoughts, feelings, and motives--is unconscious, which means that people
can behave in ways or develop symptoms that are inexplicable
to themselves. Second, mental processes, including affective and
motivational processes, operate in parallel so that, toward the
same person or situation, individuals can have conflicting feelings that motivate them in opposing ways and often lead to
compromise solutions. Third, stable personality patterns begin
to form in childhood, and childhood experiences play an important role in personality development, particularly in shaping
the ways people form later social relationships. Fourth, mental
2 References to these books are available from the author upon request.
I do not reproduce them here, because I have published an introductory
text myself and do not want to derogate what are otherwise excellent
texts (not consciously, anyway--but more on that later).
FREUD'S LEGACY
representations of the self, others, and relationships guide people's interactions with others and influence the ways they become psychologically symptomatic. Finally, personality development involves not only learning to regulate sexual and aggressive feelings but also moving from an immature, socially
dependent state to a mature, interdependent one.
Before I review the empirical data for each of these propositions, two potential objections require consideration. The first
is/hat these five propositions may not adequately represent contemporary psychodynamic thinking. Psychoanalytic theorists are
not all of one mind, and distilling a common core to a wide
range of often-competing theoretical formulations is no simple
task. Isolation of these five tenets n o doubt reflects the systematizing efforts of the author, who is an active researcher as well
as a clinician and whose thinking is heavily influenced by research in a number of subdisciplines and not just by psychoanalytic theory and clinical observation. Nevertheless, these propositions were all once highly disputed in psychology and were
exclusively associated with psychoanalysis. A t the very least,
they represent five important tenets of psychoanalytic theory
even if not the five most central. Recent survey data suggest,
however, that these propositions are indeed central to contemporary thinking among practicing psychodynamic psychologists
and psychiatrists?
A second objection regards the extent to which the propositions outlined here, and the data that support them, are in fact
distinctively psychodynamic. Many developmentalists, for example, would agree that childhood experiences play an important role in shaping personality, and most cognitive-experimentalists now accept the importance of implicit (unconscious)
processes. Further; many of the studies that support these propositions have been conducted by researchers with little interest
in or knowledge of psychodynamic ideas. Perhaps the propositions that have obtained empirical support are simply analogous
to but not isomorphic with psychodynamic ideas, and little is
to be gained by taking a second look at psychodynamic theory.
To dismiss the approach to the mind that Freud inaugurated
with the assertion that nothing about these propositions is or
ever has been unique to psychoanalysis is, however, to engage
in an impressive act of revisionist history. This can be readily
seen with respect to the proposition that much of mental life
is unconscious. Freud was not the first to notice unconscious
processes; poets and philosophers beat him to it. He was, however, the first to build a systematic psychological theory on this
proposition, which was attacked vociferously by psychologists
of nearly every persuasion for almost a century. Until the mid1980s, psychodynamic psychologists were alone among their
colleagues in arguing for the importance of unconscious
thoughts, feelings, and motives. They remain alone among clinicians in attempting to address these processes systematically in
psychotherapy, a state of affairs that I believe will shift once the
implications of the last decade of research in cognitive neuroscience become more apparent in the clinical literature.
With respect to unconscious (implicit) processes, the historical record is quite clear. As the most comprehensive experimental alternative to psychoanalysis, behaviorism dominated academic psychology (particularly in the United States) through
the 1950s and rejected the notion that unconscious processes
(or even conscious processes) could play any causal role in
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Until the 1980s, psychoanalysis was alone among psychological theories in its postulation of unconscious mental processes,
although such processes had played some part in the history of
psychology since Helmholtz's ( 1863 / 1971 ) concept of unconscious inference involved in perception. Freud (1900/1953b)
initially emphasized unconscious wishes, but he later distinguished a variety of unconscious processes (Freud, 1915/
1957c), and his followers expanded upon the notion that unconscious fantasies (by which they mean affect-laden beliefs) and
unconscious mental representations play a central role in human
behavior (Arlow, 1991; Sandier & Rosenblatt, 1962; J. Weinberger, in press). Today, the proposition that many cognitive processes are carried out unconsciously (Kihlstrom, 1987) is as
widely accepted by experimental psychologists as the opposite
proposition (i.e., that such processes do not exist) was by their
predecessors less than 2 decades ago. I suspect, however, that
many cognitive scientists would be wary of extending the notion
of unconscious processes to affect and motivation and would
be particularly dubious of the hypothesis that affective considerations can bias the way thought is assembled outside of awareness (the concept of defense). In this section, I examine the data
supporting the proposition that much of mental life, including
thoughts, feelings, and motives, is unconscious. 4
FREUD'S LEGACY
Various literatures on thinking have similarly come to distingnish implicit and explicit thought and learning processes (Holyoak & Spellman, 1993; Jacoby & Kelly, 1992; Kihlstrom,
1990; Lewicki, 1986; Reber, 1992; Seger, 1994; Underwood,
1996). As with research on memory, until very recently psychologists paid little attention to the issue of consciousness when
studying mechanisms involved in problem solving, decision
making, and other cognitive tasks. In the last few years, this has
begun to change as researchers have begun to recognize the
extent to which thought is guided by implicit grammars that
guide performance in tasks ranging from decoding or producing
sentences to standing an appropriate distance from another person (as culturally defined) or producing appropriate notes in
harmony with music playing on the radio. For example, Rubin,
Wallace, and Houston (1993) found that participants asked to
compose a ballad after hearing a series of ballads could follow
twice as many rules used in their composition as they could
consciously articulate.
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subliminal procedures have shown comparable effects on attitudes toward various stimuli, including the self (see Bargh,
1997; Eagle, 1959). More recently, Murphy, Monahan, and Zajonc (1995) have combined these lines of research (exposure
and priming), demonstrating that subliminal mere exposure effects and subliminal priming effects are additive: Increasing
exposure leads to increased ratings of liking for Chinese ideographs, and priming with a positive or negative stimulus (a
happy or sad face) simply adds or subtracts a constant (that is,
increases or decreases liking ratings the same amount at each
level of exposure). Interestingly, explicit (1 s) priming does
not have the same effect as implicit (4 ms) priming, because
participants recognize the manipulation and appear to counteract
it. Perhaps the most important contribution of this research is
that it demonstrates unequivocally that affective evaluations can
develop unconsciously and that multiple influences on affective
associations can be combined outside of awareness. As we will
see, this finding fits well with a psychodynamically informed
connectionist model that integrates affective and motivational
processes with the more familiar cognitive and perceptual ones.
Conditioning and unconscious affect. A second, and related, source of data on unconscious affect comes, paradoxically,
from research with conditioning paradigms. Lazarus and
McCleary ( 1951 ) paired nonsense syllables with a mild electric
shock and then presented the conditioned stimuli to participants
subliminally. The conditioned stimuli reliably elicited a galvanic
skin response (GSR) even when presented below the threshold
of conscious recognition. Thus, a conditioned stimulus can elicit
affect, as assessed electrophysiologically, even when presented
outside of awareness. Numerous other studies have produced
similar results (see Ohman, 1994; J. Weinberger, in press; Wong,
Shevrin, & Williams, 1994) with dependent variables ranging
from skin conductance to facial electromyography (EMG,
which measures facial muscle indicators of emotion) to evokedrelated brain potentials (ERPs).
Other studies show that classically conditioned emotional responses can be not only elicited but acquired without consciousness (e.g., Bunce, Bernat, Wong, & Shevrin, 1995; Esteves,
Dimberg, & Ohman, t994). For example, faces presented subliminally can become associated with an aversive stimulus (electric shock). The conditioned response is evidenced in facial
EMG and evoked potentials even though the person reports no
conscious awareness of the contingency between conditioned
and unconditioned stimuli (Bunce, Bernat, Wong, & Shevrin,
1995; Wong, Bernat, Bunce, & Shevrin, in press). In another
study, a conditioned auditory stimulus paired with electric shock
while rats were unconscious (anesthetized) produced a conditioned response 10 days later (Weinberg, Gold, & Sternberg,
1984; for similar research on nausea, see Garcia & Rusiniak,
1980). In yet another study, dental patients showed affective
learning while anesthetized with nitrous oxide but not with Novocain (Hutchins & Reynold, as cited in Leventhal & Everhart,
1979). Whereas Novocain effectively blocked the experience
and encoding of pain signals, nitrous oxide apparently blocked
consciousness of pain but did not prevent implicit memory for
the experience. Subsequent research has demonstrated other
kinds of learning that can occur under general anesthesia (e.g.,
Cork, 1996).
Behavior therapists in the 1970s who believed they had
"cured" homosexuality in male patients subsequently discovered that their patients had suppressed the conscious response
while remaining physiologically aroused by pictures of naked
men, as demonstrated by genital plethysmography (which measures sexual arousal in males by measuring degree of erection;
McConaghy, 1976). These findings echoed other research demonstrating that suppression of the subjective experience of emotion does not eliminate the psychophysiological component of
the emotion (Rachman, 1978). Presumably, this component
could continue to exert an impact on behavior despite the absence of conscious affect.
Unconscious affect and attitudes. Social psychologists
studying attitudes and prejudice now recognize the importance
of distinguishing conscious and unconscious attitudes (see
Greenwald & Banaji, 1995). Social psychologists have traditionally defined attitudes as including not only a cognitive component but an affective-evaluative component (and often a set
of behavioral tendencies as well, such as the tendency to vote for
candidates with particular ideological agendas). Unconscious
attitudes include unconscious affective dispositions, which may
be activated automatically and without conscious awareness.
Fazio (1990) has found that when people are consciously focusing on their attitudes, these attitudes heavily influence their behavior. When they are not focusing on their attitudes, only chronically activated, often automatic, and unconscious attitudes do
so. This finding is directly parallel to a similar finding in the
motivation literature, reviewed below, that conscious motives
guide consciously chosen behavior; whereas implicit or unconscious motives guide behavior over the long run, when
consciousness is not directly focused on goals (McClelland,
Koestner, & Weinberger, 1989). Petty and Cacioppo's (1986)
work on attitude change distinguishes a central route to attitude
change, which involves conscious attention to reasoned arguments, and a peripheral route, which is usually based on heuristics, automatic processes, affective appeals, and primitive evaluative processes that require minimal attention and effort 6 (see
also Chaiken, 1980).
Some of the most convincing research on unconscious affect
comes from studies of prejudice (Devine, 1989; Dovidio &
Gaertner, 1993; Katz, 1981; Katz & Hass, 1988), which demonstrate that people in the United States who consider themselves
nonracist often have two conflicting sets of attitudes that influence their behavior: one explicit and the other implicit. The
latter, which are more negative, bias people's information processing when their attention is not focused on their conscious
values and are likely implicated in relatively automatic behavioral responses, such as when people check their wallets after
a Black man has passed on the subway.
Of most relevance is research demonstrating that individual
differences in unconscious or implicit negative racial attitudes
are often uncorrelated with individual differences in conscious
6 The fact that attitude models have begun to converge with psychodynamic models is in some respects not surprising, because some prominent models of attitudes (e.g., Devine, 1989; Fazio, 1990) are based on
the distinction between controlled and automatic information processing
(Schneider & Shiffrin, 1977), which is similar in certain respects to
Freud's distinction between secondary and primary process thought (i.e.,
rational versus associational and unconscious thought).
FREUD'S LEGACY
racial attitudes. In a landmark study, Fazio, Jackson, Dunton,
and Williams (1995) measured implicit attitudes by presenting
to participants a series of Black and White faces followed by
either a positive or negative adjective. The participants' task was
to press a key indicating the affective connotation of the word
(good or bad). Because negative attitudes toward Blacks should
facilitate (prime) responses to negative adjectives, response latency to negative words following priming with a Black face
can be used as a measure of the affective quality of implicit
attitudes--that is, the association of affects with representations
of Blacks. The investigators found that this measure of individual differences in implicit attitudes predicted an implicit behavioral index--the extent to which a Black confederate of the
experimenters rated participants as friendly and interested in
their interaction with her when she debriefed them about the
study--but did not predict conscious attitudes about current
events involving racial issues. In contrast, a measure of conscious racism predicted participants' responses to these conscious attitude questions but not their behavior with the Black
confederate. 7 Similar findings emerge with gender stereotypes:
Implicit and explicit attitudes toward gender are often only minimally correlated, if at all (Banaji & Hardin, 1996).
Other studies documenting unconscious emotional processes.
A number of other literatures document unconscious affective
processes (see, e.g., Niedenthal & Kitayama, 1994). Women
high in self-reported sexual guilt report less arousal but show
greater physiological arousal (as assessed by genital plethysmography) than those low in sexual guilt while watching an
erotic videotape (Morokoff, 1985). Research on hypnotic analgesia often finds that physiological indexes of pain show persistence of pain despite conscious self-reports and consciously
controlled behavior (such as keeping a hand immersed in ice
water) indicative of minimal pain (Hilgard, 1979). Research on
excitation transfer shows that although participants gradually
lose awareness of physiologically detectable residual arousal
following vigorous exercise, they subsequently respond with
increased aggression or sexual excitement (depending on the
stimulus) when presented with anger-arousing or erotic stimuli
during this postawareness phase (Zillman, 1978), Thus, they
are acting on arousal of which they are unaware.
In a classic New Look study, participants more readily perceived neutral than taboo words presented briefly on a screen
and showed higher skin conductance responses (GSRs) for the
taboo words prior to conscious recognition of them (McGinnies,
1949). These findings, which not only replicated but proved
robust in the face of numerous rival hypotheses (see Broadbent,
1977; Dixon, 1971, 1981; Erdelyi, 1974, 1985), suggest a preconscious stage of processing in which information is evaluated
for its affective content, a position similarly arrived at by Bargh
(1997). Other researchers (as cited in Shevrin & Dickman,
1980) have discovered differences in amplitude of brain ERPs
in response to emotional versus neutral words presented subliminally. In one study, emotional words evoked more alpha waves
as assessed by electroencephalograph (EEG) than did neutral
words even when presented at luminance levels that rendered
them consciously imperceptible, which suggests that their emotional content was processed prior to their conscious recognition
(Heinemann & Emrich, 1971). More recently, Shevrin and his
colleagues (Shevrin, Bond, Brakel, Hertel, & Williams, 1996)
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FREUD'S LEGACY
that children who use externalizing defenses--that is, who endorse items such as "Slapping and shoving someone is just a
way of joking" and "Kids cannot be blamed for using bad
words when all their friends do i t " - - a r e more likely to be
physically aggressive and less likely to behave prosocially than
children who do not reframe transgressions to avoid responsibility. Other research has found that members of couples defensively fail to recognize their partner's attraction to another person tO the extent that (a) the relationship is important to them,
(b) they are insecure about its stability, and (c) the potentially
threatening other is attractive (Simpson, Ickes, & Blackstone,
1995).
The classic psychodynamic defense hypothesis of prejud i c e - t h a t one function of stereotyping is to bolster self-esteem
by derogating outgroups--has recently received experimental
support in a series of studies in which manipulations that affirmed valued aspects of self or threatened self-esteem led to
predicted decreases or increases in prejudiced responding
(Fein & Spencer, 1997). A recent study with genital plethysmography has breathed new life into the classic psychoanalytic
theory of homophobia as a defense against threatening homosexual feelings (Adams, Wright, & Lohr, 1996). Participants identified by questionnaire as homophobic, unlike nonhomophobic
comparison participants, showed increases in penile circumference (indicating arousal) while exposed to sexually explicit
videotapes showing male homosexual activity. Although one
could attempt to explain these data in other w a y s - - f o r example,
suggesting that anxiety, novelty, or surprise could lead to penile
arousalJthe more parsimonious explanation of this and similar
electrophysiological findings reviewed below is that people can
be unaware of, and defend against, things they find threatening,
including their own feelings.
Of particular relevance is the literature on self-serving biases
and more recent empirical outgrowths of it on narcissism. For
years, researchers have documented numerous self-serving biases, such as the tendency to see oneself as above average on
positive characteristics such as intelligence (when, of course,
not everyone can be above average), to overrate one's role
in group projects with positive outcomes, and so forth (see
Dunning, Leuenberge~; & Sherman, 1995; Epstein, 1992;
Greenwald & Pratkanis, 1984). More recent research has begun
to track down individual differences in the tendency to see ourselves unlike others see us, and has found, as clinical observation
suggests, that narcissistic people tend to hold defensively grandiose views of themselves and their accomplishments and that this
is not without substantial social and personal cost. In one study,
MBA students ranked themselves and their peers on their contribution to a group problem-solving task, as did a group of psychologist observers (John & Robins, 1994). Participants' rankings of their peers were remarkably consistent with the psychologists' rankings, but their self-rankings correlated with peer and
psychologist rankings of them at only about r = .30; 60% overestimated their own performance, suggesting a self-serving bias.
Participants who showed the most substantial self-serving biases
were significantly more narcissistic by both observer report and
self-report. Indeed, the tendency of participants to self-enhance
in this study correlated around r = .50 with psychologists'
ratings of their narcissism.
A longitudinal study compared two groups of 1st-year college
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that participants who minimized their conscious feelings of anxiety reported more organic problems, whereas those who focused on them reported more psychological problems. A recent
meta-analysis found that defensive constriction of emotional
experience was the best predictor of essential hypertension (elevated blood pressure of unknown origin) of any personality
variable yet studied (Jorgensen, Johnson, Kolodziej, & Schreer,
1996).
A program of research by Pennebaker ( 1989, 1997) has demonstrated that simply writing about or discussing painful experiences (such as job loss in unemployed professionals) produces
increases in immune functioning, physical health, and adaptive
behavior (such as getting a new job). Expressing unpleasant
emotion leads to a momentary increase in arousal but a decrease
in arousal in the long run (Hughes, Uhlmann, & Pennebaker,
1994), apparently because keeping oneself unaware of what one
feels prevents dissipation of the feeling, keeps related cognitions
active, and hence maintains the potential for unconscious priming of aversive arousal. (From a clinical perspective, one might
add a behavioral loop: Keeping oneself unaware of unpleasant
feelings prevents a person from exercising conscious control
over situations that might trigger the affect.) Of relevance to
these findings is a study in which group psychotherapy for
women with advanced breast cancer extended their lives by an
average of 18 months relative to control participants matched
for stage of the illness (Spiegel, Bloom, Kraemer, & Gottheil,
1989).
What is important about the studies described here is that
they demonstrate the existence not only of unconscious affective
and motivational processes (unconscious efforts to control aversive affective states) but of what Freud (1915/1957c) referred
to as dynamically unconscious processes; that is, those that are
kept unconscious for a reason. The existence of these processes
has long been a central assumption of psychoanalytic theory, an
assumption that continues to distinguish it from even contemporary cognitive approaches to unconscious processes (e.g., Kihlstrom, 1987, 1990). Although many researchers have difficulty
with the notion that such active, seemingly intentional processes
could occur outside of awareness, many of the mechanisms are
probably not unlike familiar conditioning processes (Dollard &
Miller, 1950; Wachtel, 1997; Westen, 1985, 1994). Just as people can learn to avoid a stimulus associated with pain through
negative reinforcement, they can learn to avoid focusing attention on particular cognitive or affective processes because doing
so is associated with shame, guilt, sadness, or anxiety. Nothing
about the architecture of memory requires that these procedures
or their triggers be accessible to consciousness; in fact, most
processes that guide attention are not accessible to introspection.
In the final section of this article I describe some possible mechanisms through which implicit affect-regulatory procedures of
this sort might occur.
At this point, I believe the data on" unconscious affective
processes are incontrovertible. Considerable affective processing occurs unconsciously in dally life whether or not a
person is responding defensively. Conscious affective experience, like conscious cognition, is likely assembled through the
action of multiple neural modules operating in parallel. The
capacity to respond with automatic affective responses, some
of which occur in the absence of conscious recognition of a
FREUD'S LEGACY
stimulus, is highly adaptive and likely guided our ancestors long
before they developed the kind of reflective self-awareness characteristic of contemporary humans. Blocking conscious emotional experience carries a cost, because people who chronically
keep themselves unaware of their feelings are more likely to
suffer from physical disorders such as heart disease. (Readers
who remain unconvinced should probably consult their
cardiologists.)
Unconscious Motivation
Consciousness, at least in its human form, appears to be a
relatively recent evolutionary development superimposed on an
information-processing system that worked relatively well for
millions of years (Reber, 1992). To assume that consciousness
is essential for goal-directed behavior suggests that our preconscious protohuman ancestors managed to escape extinction
for millennia through simple good luck, despite their lack of
motivation, until consciousness felicitously evolved. Much of
human behavior is in fact simultaneously motivated by multiple
goals, which would disrupt goal-directed behavior if they all
had to be represented in consciousness because they would
consume too much working memory. As I write these words,
for example, I am clearly motivated to make a coherent argument, write grammatically, present studies accurately, accommodate an imagined audience of whom I would expect many to
be initially skeptical, present myself as a competent scientist,
and act on a host of other less admirable motives that may have
expressed themselves despite m y best efforts to the contrary. At
the very least, motives must be capable of automatization and
hence unconscious activation, much as skills are. As shown
below, there is now considerable evidence for this last proposition (see Bargh, 1997).
Data on defensive processes simultaneously provide evidence
also for the existence of unconscious motivational processes,
because a defense is by definition-a motivated unconscious effort
to minimize painful or maximize pleasurable emotion. A growing body of evidence from other quarters, however, speaks even
more directly to the phenomenon of unconscious motivation,
suggesting that the distinction between implicit and explicit processes applies not only to cognition and affect but to motivation
as well. Some of the best evidence comes from research comparing the correlates of self-report and projective measures of mefives (see McClelland et al., 1989). The correlation between
these two types of measures typically hovers around zero; for
example, self-reported and projective assessments of the need
for power tend to show no relation to each other, leading adherents of each method to proclaim that the other is obviously
invalid. However, each type of measure predicts different kinds
of behavior. The correlates of each are highly predictable if one
views consciousness as an override mechanism or as a special
lens for examining information and choosing courses of action
when unconscious standard operating procedures have broken
down or require monitoring. For example, over the long run,
assessment of motives from TAT stories is much more predictive
of entrepreneurial or managerial success than are self-report
measures of need for achievement or power, which tend to have
little predictive validity. Tell people that they need to achieve on
a particular task, however, and their self-reported achievement
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FREUD'S LEGACY
initiated (e.g., Crews, 1996), are questions for historians of
psychology. At this juncture, however, I believe the question
of whether unconscious cognitive, affective, and motivational
processes exist is no longer an interesting or informative one
and that we would do better to turn our attention to the implications of their existence and the mechanisms by which they influence information processing and behavior.
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people will not even touch their own without the intervention
of a piece of paper. So why do people often say others have
"cute buns," and why is touching the buttocks or anus a relatively common aspect of people's sexual life or fantasies? Why
do many men enjoy looking at women in G-strings, thong underwear, or thong bikinis that accentuate and call attention to this
seemingly disgusting region of the body? Given that the vast
majority of children's first 10 years of associations to the genitals and contiguous regions involve excretion, it is a wonder
(and a tribute to the power of hormonal influences on thought
and motivation) that anyone can ever have enjoyable sex. Ambivalence is thus virtually built into human sexuality. Clinically,
this is most apparent in patients with sexual contamination issues, who are often most attracted to, and simultaneously repulsed by, the same sexual acts or body parts.
Once again, research supports this second fundamental psychodynamic supposition. That mental processes operate in parallel and that people have minimal access to the component processes that ultimately contribute to their conscious experience
and behavior are now taken for granted by most cognitive scientists, although they have tended not to consider affective and
motivational processes in this respect. The fact that positive and
negative affect are mediated by different neural circuits (see,
e.g., R. Davidson, 1992; Gray, 1990) lends credence to the view
that nothing about the mind requires that any given stimulus be
associated with only a single affective valence. Indeed, several
literatures are independently converging on the notion that positive and negative emotional responses and interpersonal interactions are only moderately correlated, are processed separately,
and have distinct correlates, including research on the impact of
supportive and harsh parenting (Pettit, Bates, & Dodge, 1997),
ingroup favoritism and outgroup derogation (Brewer & Brown,
1998), positivity and negativity in children's relationships
(Hartup, 1996), and acceptance and negative reciprocity in marital couples (Arkowitz-Westen, 1998).
The complexity of human cognition, particularly about the
significant others with whom individuals have repeated contact,
virtually assures that any given representation will be associated
with multiple affects. The research reviewed previously on implicit versus explicit emotional and motivational processes
clearly documents not only that people may have multiple feelings about the same object but that their conscious and unconscious evaluations can be in substantial conflict, as in conflicting
attitudes toward racial minorities or conflicting motives toward
power. If the affect associated with a representation motivates
approach or avoidance of it, if multiple affects are associated
with most important objects (certainly in the social realm, which
becomes readily apparent in any relationship that lasts as long
as 6 weeks), and if many of these evaluative reactions are
unconscious and can be unconsciously triggered--all of which
are now empirically supported propositions--then the view of
the mind as filled with conflict that once seemed so peculiarly
psychoanalytic now seems eminently sensible. Indeed, if part
of what the cognitive revolution did to prior research from a
behaviorist paradigm was to show how concepts such as stimulus generalization actually imply cognitive processes of schema
formation and categorization (i.e., stimuli are considered equivalent for the purposes of responding when sufficient overlap exists
between the neural networks that represent them), then what
FREUD'S LEGACY
and college students to rate the degree of support and conflict
they encountered in various relationships (Furman & Buhrmester, 1992). Of particular relevance was the finding that relationships with parents were at their most supportive at the same
time as they were at their most conflictual.
So how do people resolve conflicts when confronted, consciously or unconsciously, with multiple competing affective
and motivational pulls? One of the most important concepts in
contemporary psychodynamic theory is the notion of compromiseformation, which attempts to address that question (Brenner, 1982; Westen, 1985, chapter 2). A compromise formation
is a thought, feeling, or action that reflects a compromise among
multiple motives, such as the desires to maintain self-esteem,
to obtain some kind of gratification, to respond to moral imperatives, to escape unpleasant emotions, and to perceive reality
accurately. The televangelists who preached the evils of illicit
sex while engaging in it in one colorful variety or another in
the 1980s provide useful examples. Presuming that one gives
them the benefit of the doubt and does not assume that they were
simply conscious hypocrites who secretly enjoyed flaunting the
values they professed, one might hypothesize that their religious
preoccupation with sex allowed them to focus their attention on
sexual images and fantasies that their rigid sense o f right and
wrong precluded. At the same time, fighting this evil in other
people may have helped assuage their shame and guilt for their
thoughts (and, it turns out, actions). The result was a compromise that maximized feelings of both titillation and moral righteousness: They preached vociferously against sex acts that, on
occasion, they had difficulty containing.
This is of course speculation, because one cannot psychoanalyze at a distance, but the public details of these cases are well
known and hence provide a useful example. A simple clinical
example comes from the therapy of a man who was terribly
conflicted about whether to stay in a very unsatisfying marriage
or to end it. He was highly prone to guilt, which kept him in
the relationship for years beyond the point at which the balance
of pleasure to displeasure in the marriage had shifted overwhelmingly toward the debit column. When he finally left his
wife, he turned down opportunities to date two women who
really attracted him and rented a small, somewhat seedy apartment that seemed to be designed both to make him uncomfortable and to dissuade any woman from "coming back to his
place." When we explored his associations to these choices, the
compromise he had unconsciously crafted seemed apparent: He
could leave his wife, but to do penance for his guilt he could
not enjoy himself, particularly with other women.
Empirical research on motivated reasoning has indirectly documented the existence of similar processes. Extraverts who are
induced to believe that introversion is conducive to academic
success will come to see themselves as less extraverted, but
they will not completely deny their extraversion (see Kunda,
1990). That is, they will form an on-line compromise between
enduring self-representations and current motives. Similarly, in
a study described previously, the majority of MBA students
showed self-enhancing biases when asked to rank their contribution to a group decision-making task, but most of them ranked
themselves within one rank of the way their colleagues and
objective observers ranked them (John & Robins, 1994). In
other words, when faced with a conflict between accuracy and
347
self-enhancement, people compromise, creating a distorted selfportrait that allows them a balance of satisfaction of both mofives. The researchers did not ask, but I doubt that participants
were aware of doing this,
Similar findings emerged in a study of the accuracy of memory, in which college student participants recalled their math,
science, history, English, and foreign language grades from high
school (Bahrick, Hall, & Berger, 1996). When checked against
their actual high school grades, students recalled 71% of their
grades correctly. More interesting, however, was the pattern of
their errors: Participants correctly remembered 89% of their As
but only 29% of their Ds. Ds were as likely to be remembered
as Bs and Cs as they were as Ds, but they were virtually never
incorrectly remembered as As, which suggests a compromise
between veridical information processing and desired grades.
When the investigators created for each participant an index of
the direction of distortions, approximately 80% inflated their
remembered grades, whereas only 6% reported grades lower
than they had actually achieved. The remaining 14% remembered correctly.
One might similarly consider the social-psychological literature on self-enhancement versus self-verification in terms of
compromise formations. Decades of research have shown that
people tend to view themselves more positively than do neutral
observers, primarily because doing so protects their self-esteem.
On the other hand, Swann (1990; Swann, Stein-Seroussi, &
Geisler, 1992) has shown that people are motivated not only to
self-enhance but to confirm their preexisting views o f themselves (and presumably to see themselves accurately as well).
From a psychodynamic perspective, one would predict that conscious self-representations or self-schemas reflect a balance of
these often-conflicting motives. A recent series of studies has
documented the way people create compromise formations that
express precisely that balance (Morling & Epstein, 1997). In
three studies, self-enhancement and self-verification motives led
to compromise solutions in response to evaluative feedback,
leading participants to prefer feedback that was only moderately
self-enhancing. Participants high and low in self-esteem differed
substantially in the feedback they preferred, because each preferred feedback that enhanced them but not too far above what
they believed about themselves.
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FREUD'S LEGACY
because the "average expectable e n v i r o n m e n t " in middleclass homes and neighborhoods is quite different from that in
inner cities (for a relevant discussion, see Scarr, 1993).9 Decades of research on culture and personality have revealed
substantial cultural differences in the way people express
anger, form intimate relationships, take care of their children,
pursue goals such as achievement, regulate emotion, and so
forth (see LeVine, 1982). Including a random sample of individuals from dozens of cultures would lead to radical revisions
in estimates of the impact of shared environment on personality (see Mandler, 1997).
Third, genetic and environmental events may influence phenotypic behavior in fundamentally different ways that may
substantially bias the way heritability estimates are interpreted. Individuals whose genotype predisposes them to schizophrenia are more likely than other individuals to appear phenotypically schizophrenic or to show subsyndromal signs of
thought disorder or other signs of schizotypy, such as emotional flatness or interpersonal peculiarities. Environmental
events, in contrast, may not lead to such straightforward links
between underlying causal and resulting phenotypic behavior.
The highly variable ways in which humans can respond to
the same event can lead to artificially deflated estimates of the
influence of shared environment. To take a c o m m o n clinical
example, two siblings exposed to an alcoholic parent may
respond very differently, with one becoming impulsive and
alcoholic and the other constricted and workaholic. In this
case, the same environmental event has led to radically different styles of impulse and affect regulation, even though both
styles are clearly adaptations to the same shared environment.
What makes this scenario particularly problematic in research
attempting to draw aggregate conclusions about the impact
of childhood experiences on adult characteristics is what happens when averaging together the characteristics of these two
individuals, both of whose personalities have clearly been
impacted by the same environmental pathogen: The environmental effect will average to zero if relatively equal numbers
of individuals with each of these two opposite patterns are
included in the sample. 1
In fact, the concept of nonshared environment is actually a
misnomer because it includes shared events to which different
children respond differently. Perhaps most important, it includes
gene-environment interactions that lead two children confronted with the same situation to behave differently. Thus, early
separation from a parent may have a substantially greater effect
on a child who is temperamentally higher in negative affect than
one with an easier temperament, even though the environmental
event is identical and hence shared. To put it another way, it
includes the kinds of nonshared effects of shared environments
described above, in which different children construe a situation
differently, cope differently, have different emotional responses,
and so forth, and hence move in divergent directions despite
shared experiences.
I do not introduce these considerations to minimize the impact
of genetic influences on personality development. Research is
just beginning to document the hidden impact of genotypic variance on life events that are often treated as environmental stressors or assumed to be of psychosocial origins (see Jockin,
McGue, & Lykken, 1996; Kendler, 1995). The point is simply
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less positive feelings regarding intimacy in day-to-day life when
completing a mood diary over 28 days (Bunce, Bernat, &
Shevrin, 1997). They also respond differently than comparison
subjects on implicit measures (facial EMG and brain-evoked
potentials) when exposed subliminally to words related to intimacy and excited positive mood; interestingly, these differences
do not appear with supraliminal presentation. These findings, if
replicated, are important, because they suggest that the impact
of some aversive childhood events may be expressed behaviorally and manifest in implicit emotional responses in adulthood
but not be amenable to the typical self-report methods. These
are just the kind of responses addressed in psychoanalytic forms
of psychotherapy. The findings also make sense in light of the
research reported by McClelland and colleagues (1989), previously described, which found substantial correlations (r
.40) bet~veen childhood experiences and implicit motives assessed by TAT decades later. In related research, Bunce and
colleagues (Bunce, Snodgrass, & Larsen, 1996) found, in a
nonclinical sample, that participants reporting a history of traumatic events showed greater baseline and imagery-generated
sympathetic reactivity as assessed by skin conductance but less
reactivity as assessed by facial EMG; this pattern suggests defensive efforts at emotional suppression, because several studies
have shown this same asynchronous pattern to occur when participants attempt to inhibit affective expression or suppress
thoughts. Interestingly, this pattern holds in combat veterans
without posttraumatic stress disorder (PTSD) who are exposed
experimentally to combat sounds but not in combat veterans
with PTSD, whose efforts at affect regulation have proven ineffective and who instead tend to experience an alternation of
emotional constriction and lability (Bunce, Casada, Amdur, &
Liberzon, 1997).
A considerable body of research, also much of which is longitudinal, has established links between parenting styles and the
subsequent tendency of adult offspring to be depressed or dysphoric. In one study (Lefkowitz & Tesiny, 1984), 19-year-old
participants whose parents reported more rejecting attitudes toward them 10 years earlier showed elevated Depression scores
on the Minnesota Multiphasic Personality Inventory (MMPI;
Butcher, Dahlstrom, Graham, Tellegen, & Kaemmer, 1989). In
another, parental coldness rated at age 5 was highly predictive of
Depression scores 36 years later in midlife (Franz, Weinberger,
Kremen, & Jacobs, 1996). The data from this study also supported a number of theoretical predictions about gender differences between specific childhood variables (such as maternal
tolerance of the child's dependence) and adult depression. As
with the work by Block, Gjerde, and Block ( 1991 ), the pattern
of findings cannot be readily explained by a genetic hypothesis.
Multiple regression with childhood variables as predictors accounted for approximately 40% of the variance in adult dysphoria, with the strongest predictors being lack of parental warmth
and a composite index of difficult childhood experiences (such
as loss, divorce, frequent moves, etc.). This latter finding is
particularly impressive, although, as with most longitudinal
studies, parsing out genetic influences on life events and parenting styles is difficult.
Other research shows that poor parental care in childhood
leaves individuals vulnerable to depression in response to stressful events in adulthood (Harris, Brown, & Bifulco, 1986). In
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complete story stems of emotionally charged situations (Oppenheim, Emde, & Warren, 1997). Themes of positive interaction
and nonabusive discipline were negatively correlated with maternal reports of the child's internalizing behavior (depression
and distress), whereas presence of negative themes (such as
physical or verbal abuse) strongly predicted maternal reports of
externalizing behavior (aggression and misbehavior). The same
relations held between thematic content and mothers' reports of
their own distress, which suggests that children's representations, assessed projectively, bore some relation to actual parental
behavior" or feeling states. A stfidy just completed in my laboratory (Calabrese, 1998) found that measures of dimensions of
object relations (such as the capacity to invest emotionally in
relationships) coded from the narratives of adults predicted both
their own relationship status and that of their parents (i.e.,
whether their parents' marriage was still intact), whereas selfreport measures of attachment, self-esteem, and fear of intimacy
predicted only other self-report measures.
Again, one of the major sources of data pertaining to this
fourth basic psychodynamic tenet is attachment research, which
is not surprising, because Bowlby (1969) was himself an object
relations theorist. Mary Main (1990) and her colleagues provided a key tool for assessing representational processes by
developing the Adult Attachment Interview (AAI; Main et al.,
1985). A large body of literature now documents that adult
attachment styles as assessed by the AAI and other measures
(Brennan, Clark, & Shaver, 1998) are highly predictive of variables such as the way people respond interpersonally to threatening events (either by seeking comfort or by withdrawing;Simpson, Rholes, & Nelligan, 1992), the extent to which they acknowledge distress (Dozier & Kobak, 1992), and their styles of
coping (Mikulincer & Florian, in press; Mikulincer, Florian, &
Weller, 1993). Research on the intergenerational transmission
of attachment documents that the internal working models or
representations of relationships assessed in adults are highly
predictive of similar models assessed from the behavior of their
infants and young children (Main et al., 1985; van IJzendoorn,
1995).
By the 1970s, similar constructs were being developed by
researchers and clinical theorists of very different theoretical
orientations. Mischel (1973, 1979) and later Cantor and Kihlstrom (!987) assimilated notions such as Kelly's (1955) personal constructs (views of people idiosyncratic to individuals
that guide the way they think about themselves and others) to
cognitive-social approaches to personality, eventually integrating them with information-proceSsing theory and research. Higgins (1990) has shown that people interpret social information
on the basis of chronically accessible as well as recently activated constructs and that their emotions reflect discrepancies
H In the survey of psychodynamic clinicians described above, participants were asked to rank the extent to which they subscribe to the
following five theoretical perspectives: classical psychoanalytic, object
relations, self psychology, neo-Freudian, and "other." Of the 86 respondents, 48.1% ranked object relations theory first and 38.0% ranked it
second, for a total of 86.1%. In contrast, the perspective that received
the next highest rankings was classical psychoanalysis, which 22.8%
endorsed as their preferred perspective and 21.5% ranked second (for a
total of 44.3%).
FREUD'S LEGACY
between various types of self-representations or self-schemas.
Strauman and his colleagues (Strauman, 1992; Strauman,
Lemieux, & Coe, 1993) have demonstrated that such discrepancies not only distinguish different kinds of patients (anxious vs.
depressed) but even predict immune response when confronted
with different kinds of self-relevant information.
The psychoanalytic concept of transference is predicated on
the view that people's wishes, fears, feelings, and perceptions
of significant others will resemble prototypes from the past (a
term Freud himself used) to the extent that aspects of the person
or situation activate those mental prototypes (see Singer, 1985;
Wachtel, 1981; Westen, 1988). Andersen and Cole (1990) documented the cognitive side of transference experimentally by asking participants to describe significant others and then embedding descriptions from their responses in descriptions of fictional characters. When subsequently asked to describe the
characters, participants mistakenly attributed traits to the characters that were part of their schemas of the significant other but
were not originally included in the character's description. More
recently, Andersen and her colleagues have extended this ingenious experimental paradigm to demonstrate the transference of
affect from significant others to descriptions of unknown others
allegedly seated next door (Andersen & Baum, 1994). In their
latest work, Andersen, Reznik, and Manzella (1996) showed
that these affective evaluations lead to differential tendencies
to avoid or approach the person next door, demonstrating that
transferential processes can influence cognition, affect, and motivation--a central claim of psychoanalytic theory since Freud.
In a crucial demonstration, they have now also shown that the
effects they have produced in this program of research can
be obtained unconsciously through subliminal presentation of
significant-other descriptors (Glassman & Andersen, 1997).
Other researchers, notably Luborsky and colleagues, have examined transference processes empirically from narrative data, particularly psychotherapy transcripts (Luborsky & CritsChristoph, 1990).
Researchers are currently examining the impact of disturbances in social cognition and object relations on the understanding and treatment of various forms of psychopathology
(Blatt, 1994; Higgins, 1990; Mineka & Sutton, 1992; Strauman,
1992; Westen, 1991). Research on depression provides a good
example in that distinctions between representational triggers
were first explored by psychodynamic researchers (Blatt & Zuroff, 1992; Mongrain, Vettese, Shuster, & Kendal, 1998) and are
now being actively explored by cognitively oriented researchers.
Investigations of clinically depressed patients have found that
roughly half of these patients have concomitant personality disorders (Shea, Glass, Pilkonis, Watkins, & Docherty, 1987; Zimmerman, Pfohl, Coryell, Stangl, & Corenthal, 1988). Given that
the diagnostic criteria for all the DSM-1V (Diagnostic and
Statistical Manual of Mental Disorders [4th ed.]; American
Psychiatric Association, 1994) personality disorders are heavily
interpersonal, this suggests that many depressed patients have
substantial object-relational pathology. An important question
is whether depressed patients with pathological object relations
differ in some important ways from their depressed peers.
The data suggest that they do. For example, two initial studies
compared borderline patients, with and without concomitant
depression, to other depressed patients using Blatt, D'Affliti,
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12Although no one has yet explored the relation between objectrelational variables and the dimensions of the five-factor model of personality (McCrae & Costa, 1990), notably neuroticism, the data from
these studies cast doubt on the rival hypothesis that these findings are
all reducible to level of neuroticism. In the studies reported above as
well as in several others (for a review, see Westen, 1991), substantial
differences emerged on dozens of variables between two groups high on
neuroticism: patients with major depressive disorder and with borderline
personality disorder (BPD). The data showed that a lonely, rejectionsensitive depression (along with expectations of interpersonal malevolence, peculiarities in making attributions about interpersonal events,
need for self-soothing through polysubstance abuse, etc.) distinguished
patients with BPD from depressed patients without borderline pathology.
Note that these differences are probably not readily understood by use
of the five-factor model (FFM) even at the level of facets (subfactors)
because the FFM includes no process variables, such as fears of abandonment or ways of coping, that tap many of the differences between
major depressives with and without BPD. In recent research from our
laboratory, we have found that factor analysis of sophisticated personality data from expert observers does not yield a simple Neuroticism factor
in a large personality-disordered sample (N = 530), because there are
simply too many ways to be neurotic (Westen & Shedler, 1998, in
press).
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Developmental Trajectories
A final central proposition of contemporary psychodynamic
theory is that personality development entails not only learning
to manage sexual and aggressive impulses but moving from an
immature, dependent state to a mature, interdependent one.
Freud focused on the development of his two drives, sex and
aggression. Thus, he emphasized both psychosexual development and the ways children gradually learn to handle their aggressive impulses. Since Freud's time, psychoanalytic theorists
have shifted from a primary focus on the development of sexuality to a focus on the evolving capacity for forming and maintalning intimate relationships.
FREUD'S LEGACY
theories. Evidence linking these character styles to particular
developmental phases, however, is much more tenuous.
Studies of the Oedipus complex have also produced some
striking findings (again, for a review, see Fisher & Greenberg,
1985, 1996). For example, Friedman ( 1952) scored the extent
to which children produced positive or negative endings when
completing two stories: (a) one in which they were engaging
in a pleasurable activity alone with their same-sex parent and
were then met by the other parent and (b) one in which they
were engaging in a pleasurable activity with their oppositesex parent and were then interrupted. As predicted, the children produced more negative endings to oedipal stories in
which they were initially alone with their opposite-sex parent.
Interestingly, similar findings emerged with a second projective measure but not with measures assessing conscious feeli n g s - c o n s i s t e n t with the previously described data on implicit versus explicit cognitive, affective, and motivational
processes.
More recently, Watson and Getz (1990) asked parents of
children ages 3 - 6 to record over a 7-day period the number of
affectionate and aggressive acts they displayed toward their
same- and opposite-sex parents. Supportive of Freud's theory,
affection toward the opposite-sex parent and aggression toward
the same-sex parent were significantly more common than the
reverse. This oedipal pattern was strongest at age 4 and began
to decline by age 5. These findings are particularly important
because they are neither intuitively obvious nor predictable from
other theories; in fact, on the basis of socialization, social learning, and reinforcement history, one might expect more aggression toward fathers from children of both sexes. Other research
has found that subliminal presentation of the stimulus Beating
Dad is OK produced increases in dart-throwing performance
among male participants, whereas Beating Dad is Wrong produced decreases; similar stimuli (such as Beating Morn is Wrong
or Beating Him is Wrong) did not have the same effect (see
Palumbo & Gillman, 1984).
More broadly, data from the Sears, Maccoby, and Levin
(1957) longitudinal data set have documented the influence
of socialization for sex and aggression on later personality (J.
Weinberger & McClelland, 1990), as have numerous crosscultural studies (see Whiting & Child, 1953). Longitudinal
studies conducted by both Block (1971) and Vaillant (1977)
have demonstrated correlations between parenting styles
in early life and later sexual comfort or inhibition in adulthood.
Although these examples are impressive, most psychosexual hypotheses are obviously difficult to test in the laboratory,
and many are, no doubt, too sweeping or simply wrong. One
should not, however, ignore the myriad instances in which
Freudian theory can provide a compelling explanation, especially where other theories can offer no rival explanations.
For example, I recently received an anxious call from a man
whose 3-year-old son had suddenly, despite their previously
close and loving relationship, become very rejecting. The last
straw was when the little Oedipus told him, " M o m m y says
she doesn't want you to be my daddy anymore. So you have
to go away." When I told this to a colleague, he said he could
top that story: His 4-year-old son had recently said, "Mommy,
daddy has to leave. I don't like him anymore." When the
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(b) cognitive science, and (c) our understanding of what constitutes data in empirical psychology.
FREUD'S LEGACY
studies, however, have used fictional targets about whom participants know little and have no emotional investment or have
assessed attitudinal ambivalence consciously by self-report. Future studies shouM consider the potential role of implicit affective responses associated with an attitudinal object. Furthermore, clinical experience and research suggest that individuals
differ tremendously in the extent to which they can integrate
affectively mixed qualities into their explicit schemas of the self
and others (Baker, Silk, Westen, Nigg, & Lohr, 1992). Integrating social-cognitive and psychodynamic explanations might offer a rich way of thinking about the conditions and individualdifference variables that foster the capacity to construct multivalent explicit schemas of the self and others.
The word consciousness almost never appears in discussions
of schemas, yet diametrically opposed explicit and implicit representations of the self or others can be active at any given time,
leading to behavior that betrays conflicting feelings (see Westen,
1991). We should never speak of representations, expectancies,
or attributions without specifying their level of consciousness.
Gilbert ( 1991 ), for example, has shown that the automatic attributions people make under heavy cognitive load are quite different from the consciously corrected attributions they make when
given the chance. Recent research predicting drug and alcohol
use from explicit outcome expectancies and from implicit associations between drugs and their affective consequences has
found implicit expectancies more predictive (Stacy, 1997). Research on defensive pessimism (Cantor & Harlow, 1994; Spencer & Norem, 1996) shows that conscious, self-reported expectancies (e.g., " I ' m going to fail" ) may be quite discrepant from
the unconscious expectancies that can be inferred from the fact
that such individuals persist and succeed. The implications of
potentially conflicting conscious and unconscious attitudes
would be a ripe area for research on cognitive dissonance as
well. For example, does dissonance reduction banish discordant
information or simply render it unconscious? If the latter is
the case, can feelings inconsistent with self-reported attitudes
nevertheless find implicit behavioral expression? And does inhibition of dissonant cognitions lead to their chronic activation,
as in Wegner's (1992) research on thought suppression?
Indeed, we would do well to avoid words like activation
and accessibility without specifying whether we are referring to
conscious or unconscious activation or accessibility. The most
well-intentioned of conscious liberals may decry racial stereotypes and deny his acceptance of them despite their repeated
implicit expression when he is choosing a seat on the subway.
As suggested by some dynamically informed approaches to stereotyping (e.g., Katz, 1981), he may even hold or construct
"on-line" conscious beliefs that are particularly liberal precisely because he is defending against a negative stereotype that
is part of his unconscious associational networks but conflicts
with his conscious values (e.g., consciously believing that, even
if O. J. Simpson was guilty, his acquittal is justified because of
the history of oppression of other Black men, while unconsciously sharing a cultural representation of the dangerous Black
man). In this case, which schema is active? The schema of the
oppressed Black man or the schema of the violent, dangerous
Black man whom one avoids sitting next to on the subway?
Which schema is chronically accessible?
Or consider the recent extraordinary series of experiments
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FREUD'S LEGACY
when the person relaxes consciousness and simply says whatever
comes to mind. Thoughts or memories that themselves elicit
avoidance during this process--that come to mind but that the
patient does not want to divulge--are likely to be particularly
relevant because they are not only associatively connected but
also linked to some kind of unpleasant feeling.
Although cognitive models have not traditionally been attentive to these more motivational processes, the link between
Freud's free-associational method and many cognitive procedures for trying to map the implicit organization of associative
networks should be clear to any cognitive scientist. Cognitive
psychologists use measures such as reaction time following
priming to assess the degree of association between two nodes
on a network (e.g., bird and feathers), and there is no reason
that one would not expect meaningful idiographic data similarly
to emerge by ease of activation of specific associations to a
prime (a memory, dream element, symptom, feeling, etc.).
An important point of complementarity between psychodynamic and connectionist models is that the former have elaborated on the role of affect and motivation in associative processes, whereas the latter have focused on the role of more
cognitive and perceptual constraints. Despite their very different
foci, however; the two approaches share certain features that
make integration not only possible but potentially very useful.
First, both assume that psychological processes occur simultaneously, in parallel, but also presume a serial processing capacity (consciousness)superimposed on a parallel architecture.
Second, both assume that psychological processes active below
the threshold of consciousness at any given time can move the
system in competing directions and that the result is an equilibrated solution to multiple and potentially competing forces. In
connectionist models, this means that a process such as categorization occurs through the simultaneous activation of units of
information (nodes) that can excite or inhibit each other. In
psychoanalytic theory, a person can attach multiple evaluative
responses, and hence have competing motivational tendencies,
toward the same object and is likely to construct a compromise
solution to this affective-motivational "problem" outside of
awareness. For example, a person can channel competitive or
aggressive impulses into socially acceptable practices, such as
sports or academic achievement.
A third premise shared by both approaches is that the meaning
of an object, concept, or behavior is not contained in any single
unit or dynamic but can be understood only in terms of a broader
configuration. In PDP models, the meaning of an object is distributed throughout a network of processing units that, through
experience, have become activated in tandem. Each of these
units attends to some small aspect of the representation, and
none alone "stands for" the entire concept. From a psychodynamic perspective, the meaning of any conscious belief, feeling,
behavior, or symptom can be understood only in the context of
the dynamic interplay of unconscious processes that create it.
Although these similarities may seem more like analogies
than shared features, in fact they reflect an underlying holistic,
equilibratory, dynamic, and field-systemic approach that Read,
Vanman, and Miller (1997) have recently argued is shared by
connectionist and Gestalt models in perception and social psychology. In each case, a unified " d e c i s i o n " - - w h e t h e r an approaching insect can be categorized as a moth or whether a
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FREUD'S LEGACY
that views data-fitting and hedonic value as two sets of constraints that influence information processing, often in opposing
directions.
As suggested above in the discussion of the multiple meanings
of activation, a psychodynamically informed connectionist
model would also distinguish more carefully between implicit
and explicit products of equilibrated solutions. Just as narcissistic individuals can respond to perceived failures with defensively
grandiose conscious self-representations, people can hold positive explicit beliefs about negatively stereotyped groups that are
incompatible with their implicit stereotypes. In each of these
cases, the system has settled on two solutions, one at odds with
the other. (Alternatively, one might consider the combination of
the two incongruent representations to be a single equilibrated
solution.)
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Conclusion
So what conclusions can one draw about the legacy of Sigmund Freud a century after he began his inquiries into human
nature? The answer is complex. Freud advanced several fundamental propositions, once highly controversial and unique to
psychoanalysis, that have stood the test of time, and many of
the implicit and explicit assumptions today at the heart of the
school of thought he initiated have a considerably stronger empirical basis than has been widely supposed. This is probably
the best any thinker could hope for in a rapidly developing
discipline like ours 60 years after his death. No doubt, many
psychoanalytic writings are obscure, muddleheaded, and ignorant of relevant empirical work. But clinical investigation has
led to a set of propositions about the mind, now well verified
empirically, that can inform the experimental investigation of
human mental life and behavior and the theories that drive and
derive from it. In particular, a wedding of psychoanalysis and
cognitive science might produce some important, if unlikely,
offspring.
Was Freud wrong in some of his fundamental ideas about
human nature? Without doubt. His theory of drives was highly
problematic, his view of aggression was far too mechanistic,
his hypothesized death instinct was evolutionarily untenable, his
theory of development was too exclusively focused on sexuality,
his theory of female development was simplistic, and so on.
Fisher and Greenberg ( 1996, pp. 19-21 ) have recently distilled
and laid out in propositional form the general theory of psychopathology that Freud proposed, and I must admit that as a practicing dynamically oriented clinician I can scarcely find any
proposition on their three-page list with which I agree even
remotely.
Grand theorists like Freud, Piaget, and Skinner are routinely
the grandest purveyors of falsehood in the business. This reflects
simple mathematics: The more propositions one advances (and
the bolder those hypotheses are), the higher the probability that
several, will be wrong. 16 But on some of the central postulates
of psychodynamic theory, such as the view that much of mental
life is unconscious, Freud has left an i m p o r t a n t - - a n d I believe
i n d e l i b l e - - m a r k on human self-understanding. As psychology
moves into its second century, we would do well to attend to
and integrate some of these disavowed psychodynamic ideas,
which need not remain, like classic psychodynamic symptoms,
outside the consciousness of the scientific community.
16Popper (1957) was right in prescribing that scientists make risky,
falsifiable predictions, but he neglected to consider the relative contributions of broad versus circumscribed theories. The philosophy of science
he proposed, and that most psychologists tacitly accept, is biased toward
microtheories devoid of a broader paradigmatic context because these
theories are the most likely to withstand efforts at falsification.
References
Adams, H.E., Wright, L.W., & Lohr, B.A. (1996). Is homophobia
associated with homosexual arousal? Journal of Abnormal Psychology, 105, 440-445.
American Psychiatric Association. (1994). Diagnostic and statistical
manual of mental disorders (4th ed.). Washington, DC: Author.
Andersen, S., & Baum, A. (1994). Transference in interpersonal relations: Inferences and affect based on significant-other representations.
Journal of Personality, 62, 460-497.
Andersen, S., & Cole, S.W. (1990). "Do I know you?" The role of
significant others in social perception. Journal of Personality and
Social Psychology, 59, 384-399.
Andersen, S., Reznik, I., & Manzella, L. (1996). Eliciting facial affect,
motivation, and expectancies in transference: Significant-other representations in social relations. Journal of Personality and Social Psychology, 71, 1108-1129.
Anderson, J. (1995). Learning and memory: An integrated approach.
New York: Wiley.
Arkowitz-Westen, L. (1998). The roles of negative reciprocity and acceptance in couples: Predicting relationship quality. Unpublisheddoctoral dissertation, University of Nevada, Reno.
Arlow, J. ( 1991 ). Psychoanalysis: Clinical theory and practice. Madison, C~ International Universities Press.
Akron, L. (1996). A meeting of minds: Mutuality in psychoanalysis.
Hillsdale, NJ: Analytic Press.
Bahrick, H., Hall, L. K., & Berger, S. A. (1996). Accuracy and distortion
in memory for high school grades. Psychological Science, 7, 265271.
Baker, L., Silk, K. R., Westen, D., Nigg, J. T., & Lohr, N. E. (1992).
Malevolence, splitting, and parental ratings by borderlines. Journal
of Nervous and Mental Disease, 180, 258-264.
Banaji, M., & Hardin, C. (1996). Automatic stereotyping. Psychological
Science, 7, 136-141.
Bandura, A. (1977). Social learning theory. Englewood Cliffs, NJ: Prentice Hall.
Bandura, A., Barbaranelli, C., Caprara, G., & Pastorelli, C. (1996).
Mechanisms of moral disengagement in the exercise of moral agency.
Journal of Personality and Social Psychology, 71, 364-374.
Bank, L., Marlowe, J.H., Reid, J.B., & Patterson, G.R. (1991). A
comparative evaluation of parent-training interventions for chronic
delinquents. Journal of Abnormal Child Psychology, 19, 15-33.
Bargh, J. A. (1997). The automaticity of everyday life. In RI S. Wyer,
Jr. (Ed.), The automaticity of everyday life: Advances in social cognition (Vol. 10, pp. 1-61). Mahwah, NJ: Erlbaum.
Bargh, J., & Barndollar, K. (1996). Automaticity in action: The unconscious as repository of chronic goals and motives. In P.M. Gollwitzer & J. Bargh (Eds.), The psychology of action: Linking cognition
and motivation to behavior (pp. 457-481 ). New York: Guilford Press.
Barron, J.W., Eagle, M.N., & Wolitzky, D.L. (Eds.) (1992). The
interface of psychoanalysis and psychology. Washington, DC: American Psychological Association.
Baumrind, D. (1967). Child care practices anteceding three patterns of
preschool behavior. Genetic Psychology Monographs, 75, 43-88.
Baumrind, D. (1991). The influence of parenting style on adolescent
competence and substance use. Journal of Early Adolescence, 11,
56-95.
Bechara, A., Tranel, D., Damasio, H., Adolphs, R., Rockland, C., &
Damasio, A. ( 1995, August ). Double dissociation of conditioning and
declarative knowledge relative to the amygdala and hippocampus in
humans. Science, 29, 1115-1118.
Bechara, A., Tranel, D., Damasio, H., & Damasio, A. (1996). Failure
to respond autonomically to anticipated future outcomes following
damage to prefrontal cortex. Cerebral Cortex, 6, 215-225.
Biederman, J., Milberger, S., Faraone, S., Kiely, K., Guite, J., Mick, E.,
FREUD'S LEGACY
Warburton, R., & Reed, E. (1995). Family-environment risk factors
for attention-deficit hyperactivity disorder. Archives of General Psychiatry, 52, 464-470.
Bjork, E., Bjork, R., & Anderson, M.C. (1998). Varieties of goaldirected forgetting. In J. M. Golding & C. M. MacLeod (Eds.), Intentional forgetting: Interdisciplinary approaches (pp. 103-137). Mahwall, NJ: Erlbanm.
Blatt, S. (1994). Therapeutic change: An object relations approach.
New York: Plenum.
Blatt, S., D'Affliti, J., & Quinlan, D. (1976). Experiences of depression
in normal young adults. Journal of Abnormal Psychology, 85, 385389.
Blatt, S., & Homann, E. (1992). Parent-child interactions in the etiology
of dependent and self-critical depression. Clinical Psychology Review,
12, 47-91.
Blatt, S., & Lernet; H. ( 1991 ). Psychodynamic perspectives on personality theory. In M. Hersen, A. Kazdin, & A. S. Bellack (Eds.), The
clinical psychology handbook (2nd ed., pp. 147-169). New York:
Pergamon Press.
Blatt, S., & Zuroff, D.C. (1992). Interpersonal relatedness and selfdefinition: Two prototypes for depression. Clinical Psychology Review, 12, 527-562.
Block, J. (1971). Lives through time. Berkeley, CA: Bancroft.
Block, J. (1978). The Q-sort method in personality assessment and
psychiatric research. Palo Alto, CA: Consulting Psychologists Press.
Block, J: (1993). Studying personality the long way. In D. Fundel; R. D.
Parke, C. Tomlinson-Keasey, & K. Widaman (Eds.), Studying lives
through time: Personality and development (pp. 9-41 ). Washington,
DC: American Psychological Association.
Block, J., & Block, J. (1980). The role of ego-control and ego-resiliency
in the organization of behavior. In W. A. Collins (Ed.), Minnesota
Symposium on Child Development: Vol. 13. Hillsdale, NJ: Erlbaum.
Block, J. H., Gjerde, P. F., & Block, J. H. (1991). Personality antecedents of depressive tendencies in 18-year-olds: A prospective study.
Journal of Personality and Social Psychology, 60, 726-738.
Blum, G. S. (1954). An experimental reunion of psychoanalytic theory
with perceptual vigilance and defense. Journal of Abnormal and Social Psychology, 49, 94-98.
Bond, M., Paris, J., & Zweig-Frank, H. (1994). Defense styles and
borderline personality disorder. Journal of Personality Disorders, 8,
28-31.
Bornstein, R . E (1995). Sex differences in objective and projective
dependency tests: A meta-analytic review. Assessment, 2, 319-331.
Bornstein, R., & Masling, J. (1985). Orality and latency of volunteering
to serve as experimental subjects: A replication. Journal of Personality Assessment, 49, 306-310.
Boudewyn, A., & Liem, J. (1995). Childhood sexual abuse as a precursor to depression and self-destructive behavior in adulthood. Journal
of Traumatic Stress, 8, 445-459.
Bowlby, J. (1969). Attachment and loss: Vol. 1. Attachment. New York:
Basic Books.
Bradley, C. (1997). Generativity-stagnation: Development of a status
model. Developmental Review, 17, 262-290.
Brennan, K. A., Clark, C. L., & Shaver, P. (1998). Self-report measurernent of adult romantic attachment: An overview. In J. A. Simpson &
W. S. Rholes (Eds.), Attachment theory and close relationships (pp.
46-76). New York: Guilford Press.
Brenner, C. (1982). The mind in conflict. Madison, C'12. International
Universities Press.
Breslau, N., Davis, G. C., Andreski, P., Peterson, E. L., & Schultz, L. R.
(1997). Sex differences in posttraumatic stress disorder. Archives of
General Psychiatry, 54, 1044-1048.
Bretherton, I. (1990). Communication patterns, internal working mod-
363
364
WESTEN
FREUD'S LEGACY
mother attachment at one year of age. Child Development, 62, 891905.
Franz, C., McClelland, D., & Weinberger, J. ( 1991 ). Childhood antecedents of conventional social accomplishment in midlife adults: A 36year prospective study. Journal of Personality and Social Psychology,
60, 586-595.
Franz, C., Weinberger, J., Kremen, W., & Jacobs, R. (1996). Childhood
antecedents of dysphoria in adults: A 36-year longitudinal study.
Unpublished manuscript, Williams College.
Freud, A. (1936). The ego and the mechanisms of defense. Madison,
C'12. International Universities Press.
Freud, S. (1953a). Character and anal eroticism. In J. Strachey (Ed.
and Trans.), The standard edition of the complete psychological works
of Sigmund Freud (Vol. 9, pp. 169-175). London: Hogarth Press.
(Original work published 1908)
Freud, S. (1953b). The interpretation of dreams. In J. Strachey (Ed.
and Trans.), The standard edition of the completepsychological works
of Sigmund Freud (Vol. 4, pp. 1-338). London: Hogarth Press. (Original work published 1900)
Freud, S. (1953c). Symptoms, inhibitions, and anxiety. In J. Strachey
(Ed. and Trans.), The standard edition of the complete psychological
works of Sigmund Freud. London: Hogarth Press. (Original work
published 1926)
Freud, S. (1957a). Mourning and melancholia. In J. Strachey (Ed. and
Trans.), The standard edition of the completepsychological works of
Sigmund Freud (Vol. 14, pp. 237-260). London: Hogarth Press.
(Original work published 1917)
Freud, S. (1957b). On narcissism. In J. Strachey (Ed. and Trans.), The
standard edition of the complete psychological works of Sigmund
Freud (Vol. 14, pp. 67-102). London: Hogarth Press. (Original work
published 1914)
Freud, S. (1957c). The unconscious. In J. Strachey (Ed. and Trans.),
The standard edition of the completepsychological works of Sigmund
Freud (Vol. 14, pp. 159-215). London: Hogarth Press. (Original
work published 1915)
Friedman, S. M. (1952). An empirical study of the castration and Oedipus complexes. Genetic Psychology Monographs, 46, 61-130.
Frith, C., & Dolan, R. (1996). The role of the prefrontal cortex in
higher cognitive functiOns. Cognitive Brain Research, 5, 175-181.
Furman, W., & Buhrmester, D. (1992). Age and sex differences in
perceptions of networks of personal relationships. Child Development,
63, 103-115.
Gabbard, G. (1994). Psychodynamic psychiatry in clinical practice:
The DSM-IV edition. Washington, DC: banerican Psychiatric Press.
Garcia, J., & Rusiniak, K.W. (1980). What the nose learns from the
mouth. In D. Muller-Schwarz & R. M. Silverstein (Eds.), Chemical
signals. New York: Plenum.
Gazzaniga, M. S. (1985). The social brain: Discovering the networks
of the mind. New York: Basic Books, Inc.
Gest, S.D. (1997). Behavioral inhibition: Stability and associations
with adaptation from childhood to early adulthood. Journal of Personality and Social Psychology, 72, 467-475.
Gilbert, D. T. ( 1991 ). How mental systems believe. American Psychologist, 46, 107-119.
Glassman, N., & Andersen, S. (1997). Activating transference without
consciousness: Using significant-other representations to go beyond
the subliminally given information. Unpublished manuscript, New
York University.
Glick, P., & Fiske, S. (1996). The ambivalent sexism inventory: Differentiating hostile and benevolent sexism. Journal of Personality and
Social Psychology, 70, 491-512.
Goschke, T., & Kuhl, J. ( 1993 ). Representations of intentions: Persisting
activation in memory. Journal of Experimental Psychology: Learning,
Memory, and Cognition, 19, 1211-1226.
365
Gotlib, I., Whiffen, V., Wallace, P. M., & Mount, J. H. ( 1991 ). A prospective investigation of postpartum depression: Factors involved in
onset and recovery. Journal of Abnormal Psychology, 100, 122-132.
Gray, J. A. (1990). Brain systems that mediate both emotion and cognition. Cognition and Emotion, 4, 269-288.
Greenberg, J. R., & Mitchell, S. (1983). Object relations in psychoanalytic theory. Cambridge, MA: Harvard University Press.
Greenwald, A. (1992). New look 3: Unconscious cognition reclaimed.
American Psychologist, 47, 766-779.
Greenwald, A. G., & Banaji, M. R. (1995). Implicit social cognition:
Attitudes, self-esteem, and~ stereotypes. Psychological Review, 102,
4-27.
Greenwald, A., & Pratkanis, A. (1984). The self. In R. Wyer & T.
Srull (Eds.), Handbook of social cognition (Vol. 3, pp. 129-178).
Hillsdale, NJ: Erlbaum.
Gross, J. J., & Levenson, R. (1993). Emotional suppression:Physiology,
self-report, and expressive behavior. Journal of Personality and Social
Psychology, 64, 970-986.
Haan, N. (1977). Coping and defending: Processes of self-environment
organization. New York: Academic Press.
Halligan, P. W., & Marshall, J. C. (1991). Left neglect for near but not
far space in man. Nature, 350, 498-500.
Harris, T., Brown, G., & Bifulco, A. (1986). Loss of parent in childhood
and adult psychiatric disorder: The role of lack of adequate parental
care. Psychological Medicine, 16, 644-659.
Harrist, A., Zaia, A., Bates, J.E., Dodge, K., & Pettit, G.S. (1997).
Subtypes of social withdrawal in early childhood: Sociometric status
and social-cognitive differences across four years. ChiMDevelopment,
68, 278-294.
Harter, S. (1986). Cognitive-developmental processes in the integration
of concepts about emotions and the self. Social Cognition, 4, 119151.
Harter, S. (1998). The development of self-representations. In W. Damon
(Ed.) & N. Eisenberg (Vol. Ed.), Handbook of child psychology: Vol.
3. Social emotional and personality development (pp. 553-617).
New York: Wiley.
Hartup, W. (1996). The company they keep: Friendships and their developmental significance. Child Development, 67, 1-13.
Hauser, S., Borman, E., Jacobson, A.M., Powers, S., & Noam, G.
( 1991 ). Understanding family contexts of adolescent coping: A study
of parental ego development and adolescent coping strategies. Journal
of Early Adolescence, 11, 96-124.
Hedegard, S. (1969). A molecular analysis of psychological defenses.
Unpublished doctoral dissertation, University of Michigan.
Heinemann, L., & Emrich, H. (1971). Alpha activity during inhibitory
brain processes. Psychophysiology, 7, 442-450.
Helmholtz, H. v o n ( 1971 ). Selected writings of Hermann von Helmholtz. R. Kahl (Ed. and Trans.). Middletown, C'12.Wesleyan University
Press. (Original work published 1863 )
Herman, J., Perry, J.C., & van der Kolk, B.A. (1989). Childhood
trauma in borderline personality disorder. American Journal of Psychiatry, 146, 490-495.
Higgins, E. T. (1990). Personality, social psychology, and person-situation relations: Standards and knowledge activation as a common language. In L. Pervin (Ed.), Handbook of personality: Theory and
research (pp. 301-338). New York: Guilford Press.
Hilgard, E. (1979). Divided consciousness in hypnosis: The implications of the hidden observer. In E. Fromm & R. E. Shor (Eds.), Hypnosis: Developments in research and new perspectives (2nd ed.). Chicago: Aldine.
Hirshberg, L. M. (1990). When infants took to their parents: II. Twelvemonth-olds' response to conflicting parental emotional signals. Child
Development, 61, 1187-1191.
Hogan, R., Curphy, G., and Hogan, J. (1994). What we know about
366
WESTEN
FREUD'S LEGACY
development. Journal of Personality and Social Psychology, 48, 420427.
Luborsky, L., & Crits-Christoph, P. (1990). Understanding transference: The core conflictual relationship theme method. New York:
Basic Books.
Lyons-Ruth, K., Connell, D., Grunebaum, H., & Botein, S. (1990).
Infants at social risk: Maternal depression and family support services
as mediators of infant development and security of attachment. ChiM
Development, 61, 85-98.
Lytton, H. (1990). Child and parent effects in boys' conduct disorder:
A reinterpretation. Developmental Psychology, 26, 683-697.
Main, M. (1990). Cross-cultural studies of attachment organization:
Recent studies, changing methodologies, and the concept of conditional strategies. Human Development, 33, 48-61.
Main, M. (1996). Disorganization and disorientation in infant strange
situation behavior: Phenotypic resemblance to dissociative states. In
L. K. Michelson & W. J. Ray (Eds.), Handbook of dissociation (pp.
107-138). New York: Plenum Press.
Main, M., Kaplan, N., & Cassidy, J. (1985). Security in infancy, childhood, and adulthood: A move to the level of representation. In I.
Bretherton & E. Waters (Eds.), Growing points of attachment theory
and research. Monographs of the Society for Research in Child Development, 50(1-2), 67-104.
Main, M., & Solomon, J. (1986). Discovery of a new, insecure-disorganized/disoriented attachment pattern. In T. Brazelton & M. Yogman
(Eds.), Affective development in infancy (pp. 95-124). Norwood,
NJ: Ablex.
Mandler, G. (1997). Human nature explored. New York: Oxford University Press.
Marcia, J.E. (1994). The empirical study of ego identity. In H.A.
Bosma, T. L. G. Graafsma, H. D. Grotevant, & D. J. de Levita (Eds.),
Identity and development: An interdisciplinary approach (pp. 6780). Thousand Oaks, CA: Sage.
Martikainen, P., & Valkonen, T. (1996). Mortality after the death of a
spouse: Rates and causes of death in a large Finnish cohort. American
Journal of Public Health, 86, 1087-1093.
Masling, J. (1986). Orality, pathology, and interpersonal behavior. In J.
Masling (Ed.), Empirical studies of psychoanalytic theories (Vol. 2,
pp. 73-106). New York: Analytic Press.
Masling, J., Price, J., Goldband, S., & Katkin, E. S. (1981). Oral imagery and autonomic arousal in social isolation. Journal of Personality
and Social Psychology, 40, 395-400.
Masten, A. S., Best, K., & Garmezy, N. (1990). Resilience and development: Contributions from the study of children who overcome adversity. Development & Psychopathology, 2, 425-444.
McAdams, D.P. (1992). The intimacy motive. In C.P. Smith, J.W.
Atkinson, D. C. McClelland, & J. Veroff (Eds.), Motivation andpersonality: Handbook of thematic content analysis (pp. 224-228).
Cambridge, England: Cambridge University Press.
McClelland, D.C., & Franz, C.E. (1992). Motivational and other
sources of work accomplishments in midlife: A longitudinal study.
Journal of Personality, 60, 679-707.
McC!elland, D. C., Koestner, R., & Weinberger, J. (1989). How do selfattributed and implicit motives differ? Psychological Review, 96, 690702.
McCrae, R., & Costa, P. (1990). Personality in adulthood. New York:
Guilford Press.
McConaghy, N. (1976). Is a homosexual orientation reversible? British
Journal of Psychiatry, 129, 556-563.
McCord, J. (1988). Identifying developmental paradigms leading to
alcoholism. Journal of Studies on Alcohol, 49, 357-362.
MeGinnies, E. (1949). Emotionality and perceptual defense. Psychological Review, 56, 244-251.
Mickelson, K. D., Kessler, R. C., & Shaver, P. R. (1997). Adult attach-
367
368
WESTEN
Nisbett, R., & Wilson, T. (1977). Telling more than we can know: Verbal
reports on mental processes. Psychological Review, 84, 231-259.
Ohrnan, A. (1994). "Unconscious anxiety": Phobic responses to
masked stimuli. Journal of Abnormal Psychology, 103, 231-240.
O'Neill, R. M., Greenberg, R. P., & Fisher, S. (1992). Humor and anality.
Humor, 5, 283-291.
Oppenheim, D., Emde, R., & Warren, S. (1997). Children's narrative
representations of mothers: Their development and associations with
child and mother adaptation. ChiM Development, 68, 127-138.
Orlofsky, J. (1993). Intimacy status: Theory and research. In J. E. Marcia, A. S. Waterman, D. R. Matteson, S. L. Archer, & J. L. Orlofsky
(Eds.), Ego identity: A handbook for psychosocial research. New
York: Springer-Verlag.
Palumbo, R., & Gillman, I. (1984). Effects of subliminal activation of
Oedipal fantasies on competitive performance. Journal of Nervous
and Mental Disease, 172, 737-741.
Parker, G. (1983). "Affectionless control" as an antecedent to adult
depression. Archives of General Psychiatry, 40, 956-960.
Paulhus, D., Fridhandler, B., & Hayes, S. (1997). Psychological defense:
Contemporary theory and research. In R. Hogan, J. Johnson, & S. R.
Briggs (Eds.), Handbook of personality psychology (pp. 543-579).
San Diego, CA: Academic Press.
Paulhus, D., & Levitt, K. (1987). Desirable responding triggered by
affect: Automatic egotism? Journal of Personality and Social Psychology, 52, 245-259.
Pederson, D. R., Moran, G., Sitko, C., Campbell, K., Ghesquire, K., &
Acton, H. (1990). Maternal sensitivity and the security of infantmother attachment: A Q-sort study. ChiM Development, 61, 19741983.
Pennebaker, J. (1989). Stream of consciousness and stress: Levels of
thinking. In J. S. Uleman & J. A. Bargh (Eds.), Unintended thought
(pp. 327-350). New York: Guilford Press.
Pennebaker, J. (1997). Opening up: The healing power of expressing
emotions (Rev. ed.). New York: Guilford Press.
Perry, J. C., & Cooper, S. H. (1987). Empirical studies of psychological
defense mechanisms. In R. Michels & J. O. Cavenar, Jr. (Eds.), Psychiatry. Philadelphia: J. B. Lippincott.
Perry, J. C., & Cooper, S. (1989). An empirical study of defense mechanisms: I. Clinical interview and life vignette ratingg. Archives of General Psychiatry, 46, 444-460.
Peselow, E., Robins, C., Sanfilipo, M., Block, E, & Fieve, R. (1992).
Sociotropy and autonomy: Relationship to antidepressant treatments
response and the endogeonous-nonendogenous dichotomy. Journal
of Abnormal Psychology, 101, 479-486.
Peterson, C., & Ulrey, L. (1994). Can explanatory style be scored from
TAT protocols? Personality and Social Psychology Bulletin, 20, 102106.
Pettigrew, T., & Meertens, R. (1995). Subtle and blatant prejudice in
Western Europe. European Journal of Social Psychology, 25, 57-75.
Pettit, G., Bates, J., & Dodge, K. (1997). Supportive parenting, ecological context, and children's adjustment: A seven-year longitudinal
study. Child Development, 68, 908-923.
Petty, R. E., & Cacioppo, J. T. (1986). The elaboration likelihood model
of persuasion. In L. Berkowitz (Ed.), Advances in experimental social
psychology (Vol. 19, pp. 123-205). San Diego, CA: Academic Press.
Pierce, G.R., Lakey, B., Sarasori, I., & Sarason, B. (Eds.). (1997).
Sourcebook of social support and personality. New York: Plenum
Press.
Plomin, R., DeFries, J. C., McClearn, G. E., & Rutter, R. (1997). Behavioral genetics (3rd ed.). New York: Freeman.
Pope, K., Tabachnick, B., & Keith-Spiegel, P. (1987). Ethics of practice:
The beliefs and behaviors of psychologists as therapists. American
Psychologist, 42, 993-1006.
FREUD'S LEGACY
and the role of life experiences. American Journal of Psychiatry, 143,
1077-1087.
Sandier, J. (1987). Toward a reconsideration of the psychoanalytic theory of motivation. In J. Sandier (Ed.), From safety to the superego:
Selected papers of Joseph Sandier. New York: Guilford Press.
Sandier, J., & Rosenblatt, B. (1962). The concept of the representational
world. Psychoanalytic Study of the Child, 1Z 128-145.
Scarr, S. (1993). Biological and cultural diversity: The legacy of Darwin
for development. Child Development, 64, 1333-1353.
Schacter, D.L. (1992). Understanding implicit memory: A cognitive
neuroscience approach. American Psychologist, 47, 559-569.
Schacter, D. (1995). Implicit memory: A new frontier for cognitive
neuroscience. In M. Gazzaniga (Ed.), The cognitive neurosciences
(pp. 815-824). Cambridge, MA: MIT Press.
Sehacter, D., & Buckner, R. L. (1998). Priming and the brain. Neuron,
20, 185-195.
Schneider, W., & Shiffrin, R. (1977). Controlled and automatic human
information processing: I. Detection, search, and attention. Psychological Review, 84, 402-411.
Schopenhauer, A. (1958). The world as will and representation (E. E J.
Payne, Trans.). Indian Hills, CO: Falcon's Wing Press. (Original work
published 1883)
Schumm, W., Paff-Bergen, L., Hatch, R., & Obiorah, E (1986). Concurrent and discriminant validity of the Kansas Marital Satisfaction Scale.
Journal of Marriage & the Family, 48, 381-387.
Schwartz, G.E. (1990). Psychobiology of repression and health: A
systems perspective. In J. L. Singer (Ed.), Repression and dissociation: Defense mechanisms and personality styles: Current theory and
research. Chicago: University of Chicago Press.
Schwartz, G., Krupp, N., & Byrne, D. (1971). Repression-sensitization
and medical diagnosis. Journal of Abnormal Psychology, 78, 286291.
Sears, R., Maccoby, E., & Levin, H. (1957). Patterns of child rearing.
Evanston, IL: Row, Peterson.
Seger, C. A. (1994). Implicit learning. Psychological Bulletin, 115, 163196.
Selman, R. (1980). The growth of interpersonal understanding. San
Diego, CA: Academic Press.
Shea, M., Glass, D., Pilkonis, P., Watkins, J., & Docherty, J. (1987).
Frequency and implications of personality disorders in a sample of
depressed outpatients. Journal of Personality Disorders, 1, 27-42.
Shedier, J., & Block, J. (1990). Adolescent drug use and psychological
health: A longitudinal inquiry. American Psychologist, 45, 612-630.
Shedler, J., Mayman, M., & Manis, M. (1993). The illusion of mental
health. American Psychologist, 48, 1117-1131.
Shedler, J., & Westen, D. (1998). Refining the measurement of Axis II:
A Q-sort procedure for accessing personality pathology. Assessment,
5, 335-355.
Shevrin, H., Bond, J., Brakel, L., Hertel, R., & Williams, W. J. (1996).
Conscious and unconscious processes: Psychodynamic, cognitive,
and neurophysiological convergences. New York: Guilford Press.
Shevrin, H., & Dickman, S. (1980). The psychological unconscious: A
necessary assumption for all psychological theory? American Psychologist, 35, 421-434.
Shoda, Y., Mischel, W., & Peake, P. (1990). Predicting adolescent cognitive and self-regulatory competencies from preschool delay of gratification: Identifying diagnostic conditions. Developmental Psychology,
26, 978-986.
Shultz, T. R., & Lepper, M. R. (1996). Cognitive dissonance reduction
as constraint satisfaction. Psychological Review, 103, 219-240.
Silverman, L., & Weinberger, J. (1985). Mommy and I are one: Implications for psychotherapy. American Psychologist, 40, 1296-1308.
Simon, L., Greenberg, J., Harmon-Jones, E., Solomon, S., Pyszczynski,
T., Arndt, J., & Abend, T. (1997). Terror management and cognitive-
369
370
WESTEN
FREUD'S LEGACY
Westen, D., & Harnden, J. (1998). Categorizing eating disorders by
personality profiles: Bridging the chasm between Axis I and Axis IL
Unpublished manuscript, Harvard Medical School.
Westen, D., Klepser, J., Ruffins, S.A., Silverrnan, M., Lifton, N., &
Boekamp, J. (1991). Object relations in childhood and adolescence:
The development of working representations. Journal of Consulting
and Clinical Psychology, 59, 400-409.
Westen, D., Ludolph, P., Block, M. J., Wixom, J., Wiss, E C. (1990).
Developmental history and object relations in psychiatrically disturbed
adolescent girls. American Journal of Psychiatry, 147, 1061-1068.
Westen, D., Moses, M. J., Silk, K. R., Lohr, N. E., Cohen, R., & Segal,
H. (1992). Quality of depressive experience in borderline personality
disorder and major depression: When depression is not just depression.
Journal of Personality Disorders, 6, 382-393.
Westen, D., Muderrisoglu, S., Fowler, C., Shedier, J., & Koren, D.
(1997). Affect regulation and affective experience: Individual differences, group differences, and measurement using a Q-sort procedure.
Journal of Consulting and Clinical Psychology, 65, 429-439.
Westen, D., & Shedler, J. (1998). Bridging the gap between clinical
and research perspectives on personality disorders: A nonreplication
of the Five Factor model using a clinically sensitive Q-sort procedure.
Unpublished manuscript, Harvard Medical School.
Westen, D., & Shedler, J. (in press). Revising and assessing Axis II: II.
Toward an empirically and clinically sensible taxonomy of personality
disorders. American Journal of Psychiatry.
White, N. M. (1995). Emotional memory: Conceptual and methodological issues. In J.L. McGaugh, N. Weinberger, & G. Lynch (Eds.),
Brain and memory: Modulation and mediation of neuroplasticity (pp.
93-100). New York: Oxford University Press.
Whiting, J. W. M., & Child, I. L. ( 1953 ). Child training and personality:
A cross-cultural study. New Haven, C'12.Yale University Press.
Wilson, T.D., Lisle, D., Schooler, J., Hedges, S.D., Klaaren, K., &
371
LaFleur, S. (1993). Introspecting about reasons can reduce postchoice satisfaciJon. Personality and Social Psychology Bulletin, 19,
331-339.
Wilson, I". D., & Schoolel; J. W. (1991). Thinking too much: Introspection can reduce the quality of preferences and decisions. Journal of
Personality and Social Psychology, 60, 181-192.
Wilson, W. R. (1975). Unobtrusive induction of positive attitudes. Unpublished doctoral dissertation, University of Michigan.
Wixom, J., Ludolph, P., & Westen, D. (1993). Quality of depression in
borderline adolescents. Journal of the American Academy of Child &
Adolescent Psychiatry, 32, 1172 - 1177.
Wong, P., Bernat, E., Bunce, S., & Shewin, H. (in press). Brain indices
of nonconscious associative learning. Consciousness and Cognition:
An International Journal, 6, 519-544.
Wong, P., Shevrin, H., & Williams, W. J.(1994). Conscious and nonconscious processes: An ERP index of an anticipatory response in a
conditioning paradigm using visually masked stimuli. Psychophysiology, 31, 87-101.
Zajonc, R. B. (1968). The attitudinal effects of mere exposure. Journal
of Personality and Social Psychology, 9(2, Pt. 2), 1-27.
Zajonc, R. (1980). Feeling and thinking: Preferences need no inferences.
American Psychologist, 35, 151 - 175.
Zillman, D. (1978). Attribution and misattribution of excitatory reactions. In J. H. Harvey, W. Ickes, & R. E Kidd (Eds.), New directions
in attribution research (Vol. 2). Hillsdale, NJ: Erlbaum.
Zimmerman, M., Pfohl, B., Coryell, W., Stangl, D., & Corenthal, C.
(1988). Diagnosing personality disorder in depressed patients. Archives of General Psychiatry, 45, 733-737.
Received December 31, 1996
Revision received June 3, 1998
Accepted June 4, 1998