Integrative Psychotherapy Books
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Review
by Helena
Hargaden,
ITA News
Theories and Methods of an Integrative Transactional Analysis
A Volume of Selected
Articles by Richard G. Erskine
TA Press, 1997, 256 pages, $25.00
This
review was originally published in ITA News, Number 54,
Summer 1999, pp. 34.
In
this volume of
28 articles we see the seeding, flowering and ultimate blossoming of
Erskine's creative integration of theoretical systems and concepts into
an Integrative Transactional Analysis. This
book spans twenty-five years of his work during which his focus never
wanes, his words do not tire; one senses the energy of a bright and creative
mind at work. It is essential reading for those transactional analysts
who want to bring together affective, cognitive, behavioural, and physiological
systems and work within the realms of depth psychotherapy whilst honing
up their understanding of transactional analysis theory.
During
my reading of this volume I was most struck by the clarity and incisiveness
which Richard Erskine brings to a body of literature which has captivated
even as it has perplexed students of transactional analysis since its inception,
(under the genius of Berne) in the 1950s. It is one of Erskine's
achievements that he enables the clinician to make sense of some of the
inconsistencies inherent within TA theory. Divided
into four sections, each section has a theme and the articles are arranged
in reverse order of publication. In particular Section II is recommended
as required reading for all transactional analysts who want to refresh
or develop their understanding of ego state theory. For
the reluctant reader of theory there is a very lively piece which
is the taped version of a round table discussion held at the ITAA's 25th
Annual Summer Conference in Chicago, Illinois, July 29th - August 2nd,
1987. In this piece the participants have a lively and entertaining discussion
about ego state theory which captures the mood of an emergent creative
process. "Ego
State Analysis A Comparative View" brings
much needed clarification to the different ego state models. In "Ego
Structure, Intrapsychic Function, and Defence Mechanisms: A commentary
on Eric Berne's Original Theoretical Concepts" Erskine makes a strong
case for recognising that Berne's real genius lies in his elaboration and
elucidation of the intrapsychic model of ego states and how they translate
into transactions with each other. This creative combining of the intrapsychic
with the interpersonal afforded a dramatic change in the practice of psychotherapy
which Erskine argues anticipated the later developments in self psychology
and developmental psychology. I am inclined to be persuaded by Erksine's
logic since some TA writers over the past decade have integrated object
relations and developmental psychologies into TA with apparent ease. I
am left feeling sad, too, that the theory was so vulnerable to the over
simplification which has dogged transactional analysts ever since. Reading
the historical evolution of ego state theory one is left in do doubt that
Berne's original influences were psychoanalytic and that his psychoanalyst
Paul Federn was influential in Berne's development of ego state theory in
which the
archeopsyche is revealed in all its complexity. Ego
states are clearly linked with intrapsychic
development which sets the scene neatly for the development of a methodology.
Part
I leads naturally into this...and in some sense this book benefits from
being read backwards. Since
I have a tendency to do this anyway, I felt that I was reading the book
the right way round for once (an unusual experience for me!) These
articles require that transactional analysts take stock, sit
back and change
their methodology. The processes of inquiry, attunement and involvement
are outlined and delineated but it is in his article on
"Shame and Self-righteousness." that Erskine most convinces us of
the need to tread lightly, for indeed we can easily tread on dreams! This
article moved me to tears on evoking the state of shame and humiliation, the
fear of abandonment and the ongoing need for a connection with whoever shamed
us; it leaves the reader in no doubt that gross confrontation of rackets and
scripts (without paying attention to the under-lying experiences) potentially
exposes the client to a retraumatising, shameful experience. Erskine quotes
Goldberg who views shame as 'the crucible of human freedom with the constructive
potential". This quote intrigues. How does one do this within the therapeutic
relationship? This question highlights a deficiency within the methodology
proposed, for I was left with a conviction that empathic attunement alone is
insufficient when working with the complexity of shame based systems.
Sections
III & IV contain many old favourites that will be familiar to readers
such as "The Racket System: A `Model for Racket Analysis",
"Rubberbanding"; "Six Stages of Treatment" and much more. I
remember reading the "ABC's of Effective psychotherapy" in the second
year of my training and beginning to understand the meaning of integration,
not only as a means of bringing together different theories, but also as a
process of integrating the personality. These articles have stood the test
of time and are still widely read and used in the practice of transactional
analysis. I
was intrigued to happen upon a two page article entitled,
"Secondary Stamp Collecting," Richard G. Erskine and Harry D. Corsover.
It conveys again that wonderful simplicity of TA that can be so thought provoking. Anyone
who runs a group, trains, or supervises should read this
its a gem!
In
summary, Erskine goes into the bowels of the theory, extricating, elaborating,
lengthening; he demands of the theory that it become a relational contactful
psychotherapy and he demands of us, the reader, that we think and conceptualise
relationally.
My
disappointments lie in the absence of articles which address race, culture
and sexuality. For
instance what is the meaning of empathic attunement inter-culturally?
How do we understand empathic inquiry between Black and White? Between
men and women? Between heterosexual and gay clients? I
was left feeling the deficiency within the methodology on these counts.
The articles, which address the social context, appear dated and irrelevant
which is perhaps a comment upon the huge social changes over the past
quarter of a century. In his introduction to the volume Richard Erskine
openly encourages readers to respond creatively to the development of
theory. Maybe
it is with regard to the social and cultural realities of our individual
and collective lives that our collaborative contributions are still needed.