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The Self in Process: Toward A Post-Rationalist Cognitive Therapy PDF

251 Pages·1991·4.777 MB·English
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f. VITTORIO GUIDANO THE SELF IN PROCESS TOWARD A POST-RATIONALIST COGNITIVE THERAPY Vittorio F. Guidano "Thu id a creative a11d thought-provoking work, rich in theoretical i2eaJ and cLi11icaL i,uight,1 which are weff 1 iffu<1trated with exte,uive Cade material. At the heart of Gui2ano d approach Liu a paddionate and rigorow commitment to a co,utructividt epidtemowgy and to a view of human being,1 ad ,1e/f-organi.zing, de/f-determin i11g agent,1 capa6Le of ongoing growth and differenti 1 ation. A dtirnufating and original contrilmtion." - - Jeremy D. Safran, Ph.D. Cognitive psychology, for the most part, still firmly believes in an objective external reality that can be readily observed and assimilated. If environment is primary, the individual must conform to it to be recognized as "rational." In this powerful work, Dr. Guidano critiques the separation of observer and observed, shows how the very meaning of "self" is thus redefined, and delineates the clinical ramifications of the newly conceived self for a "post-rationalist" cognitive therapy. Clinicians, according to Guidano, can do more than help patients change dysfunctional behavior. By directing therapy toward core emotional themes and utilizing the interactional aspects of the therapeutic relationship, practi tioners can modify patients' core patterns of self perception and thereby realize substantive and lasting change. Part I of the volume lays the theoretical ground work and Part II, replete with case examples, discusses psychotherapeutic applications. In the first part, Guidano explicates his construct of the self, examining the differentiation of self-bound aries, discussing developmental pathways of self organization, and describing the impact of self boundaries on lifespan development. continued on back/lap THE SELF IN PROCESS THE SELF IN PROCESS Toward a Post~Rationalist Co,Rnitive Therapy VITTORIO F. GUIDANO THE GUILFORD PRESS New York London © 1991 The Guilford Press A Division of Guilford Publications, Inc. 72 Spring Street, New York, NY 10012 AU rights reserved No part of this book may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, microfilming, recording, or otherwise, without wri.r.ten permission from the Publisher. Printed in the United States of America This book is printed on acid-free paper. Last digit is print number: 9 8 7 6 5 4 3 2 Library of Congress Cataloging-in-Publication Data Guidano, V. F. The self in process: toward a post-rntionalist cognitive therapy / Vittorio F. Guidano. p. cm. Includes bibliographical references and index. ISBN 0-89862-44 7-9 l. Cognitive therapy. 2. Self psychology. I. Tide. [DNLM: 1. Cognitive Therapy. 2. Self Concept. WM 425 G946s] RC489.C63G85 1991 . 616.89' 142-dc20 DNLM/DLC for Library of Congress 90-14129 CIP Preface Although the powerful development of the cognitive sciences that has taken place over the last two decades has succeeded in fostering more articulated models of human behavior and knowing processes, the nature of human experience and the role that affectiv ity, meaning, and so forth play in its construction are domains that 1 have remained largely overlooked. What the nature and structure of human experience might be is, in fact, a question that is not even asked in the empiricist epistemo logical perspective underlying the prevailing rationalist trend in cognitive psychology. If reality is taken as a univocal, objectively given, external order that exists independently from our observation of it, we will inevitably take for granted our own characteristics as observers. The only possible kind of investigation remaining in the face of something "already objectively given" is that of limiting oneself to the observation of various aspects of that given; and the most likely methodology resulting from this is that in which the description ends up coinciding with the explanation. Thus, describing the intercurrent mechanism between environmental stimuli and their sensory registra tion substantially amounts to the same as explaining the human sensory system. In the same way, describing human identity as merely an organized set of cognitions, perceptions, and memories correlated to a correspondent repertoire of feelings, emotional experiences, and psychophysiological patterns amounts to the same as explaining the nature and structure of selfhood. If, on the other hand, we assume a nonempiricist perspective, the essential point becomes instead that of understanding how our V vi PREFACE characteristics as observers are involved in the process of observing, and this brings us to a radical change in the fonnulation followed up to now. It is not so much a question of describing what we feel or the ingredients that appear in individual identity, but rather one of asking why we feel what we feel, or why it is necessary to have a unit,iry sense of self continuous in time in order to be able to function. In other words, the unavoidable question becomes: "What is human experi ence?", and the only possible answer lies in researching the underlying mechanisms and processes causative of the phenomena (i.e., human experience) to be explained. Hence, the assumption of an evolutionary epistemological per spective-that is, the study of evolving knowledge and knowing sys tems-necessarily become; the basic methodological stance, given that, emphasizing how we cannot escape our particular way of being animal, such a stance enables the reconstruction of the human em beddedness of human experience. Moreover, if the ordering of our world is inseparable from our experiencing it, then the development of knowledge unfolds into an irreducible ontological dimension in which subjectivity underlies any ordering of that objective dimension of reality commonly called human experience. This interdependence between subjective and objective, emo tioning and cognizing, experiencing and explaining, etc., is con stitutive of any human knowing process, just as feeling ourselves to be alive and the continuous explanation of this is constitutive of our nature and is at the base of our experience of selfhood. Because understanding is inseparable from existing, all understanding is self understanding. The experiencing/explaining interdependence un derlying self-understanding unfolds into an endless process of circular ity between the immediate experience of oneself ( the acting and experiencing "I") and the sense of self that emerges as a result of appraising and self-referring that ongoing experience (the observing and evaluating "Me"). This crncial feature inherent in selfhood dynamics is the es sential thread around which the two parts of this book revolve. In Part I, which is of a theoretical nature, we attempt to outline the dynamics of the experiencing/explaining interface in selfhood development as well as the role that affectivity, meaning, and so forth, exert on the whole process. In Part II, of a more clinical nature, we try to show how working in a therapeutic setting on the experiencing/explaining interface may be a promising alternative to the rationalist methodics, Preface. vii essentially "persuasive" in nature, still largeli adopted in cognitive therapy. In conclusion, this book attempts to point out some of the basic features and essential processes that underlie human experience with a twofold intent: firstly, ·that of presenting an ontological model of knowledge in which knowing is seen from the point of view of the experiencing subject (i.e., how an individual experiences and is affected by the self-knowledge he or she has been able to process); secondly, that of deriving, in a ,manner consistent with the model presented, a methodology and strategy of intervention for cognitive therapy. I wish to express my gratitude to the Center for Cognitive Therapy of Rome for the support and collaboration given me, and, in particular, to Giampiero Arciero, who, with involvement equal to enthusiasm, has sustained me throughout the drafting of this book with continual advice and suggestions. There are many colleagues and friends to whom I owe thanks, and it would be impossible to name them all. I recall with particular gratitude the help of John Bowlby, Walter B. Weimer, Antonio Caridi, Toto Blanco, Jeremy Safran, Mayte Miro Barrachina, Oscar F. Goncalves, Mauro Ceruti, and Valeria Ugazio. I extend special thanks to Michael J. Mahoney, both to cele brate a decade of friendship and to emphasize how this friendship has profoundly influenced my personal and scientific development. I should also like to thank all my trainees, with whom I have discussed at length, and always profitably, the main ideas contained in this book. There are many people to whom I am grateful for having made the editing and publishing work stimulating. Particular thanks to Matthew Dallaway for helping me put the work into the final English form; the readiness and professional competence of the staff of The Guilford Press, together with the unconditional support and friend ship of Seymour Weingarten, have considerably eased the whole operation. V. F. G.

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