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Religion and Spirituality in Psychiatry

Religion and Spirituality in Psychiatry

Religion and Spirituality in Psychiatry

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Self-Identity <strong>and</strong> <strong>Religion</strong>/<strong>Spirituality</strong> 161The affective attunement is present from theemergence of the sense of a core self (<strong>in</strong> hold<strong>in</strong>g,h<strong>and</strong>l<strong>in</strong>g, <strong>and</strong> present<strong>in</strong>g objects). Infants will<strong>in</strong>ternalize “schemas-of-be<strong>in</strong>g-with,” which willserve as a model for future <strong>in</strong>teractions. Thus,the “tickle the tummy” game is learned from themother, but it is recognized when played withother people. In other words, the identity is constructed<strong>in</strong> the relationship with the mother butis ma<strong>in</strong>ta<strong>in</strong>ed <strong>in</strong> a prototype recalled by a cue.Identity is not part of the actual goal. By the rangeof affective attunements that she provides, themother will validate or repudiate certa<strong>in</strong> experiences.Together with the creation of the sense of acore self , this <strong>in</strong>itiates differentiation between thesocial self <strong>and</strong> the disavowed self. The social selfis created by the experiences of the self that areselected <strong>and</strong> attributed value because they satisfysomebody else’s needs <strong>and</strong> desires. The disavowedself consists of a conglomerate of disavowed selfexperiencesthat are not easily expressed us<strong>in</strong>glanguage. Dur<strong>in</strong>g development, the social self willbe perceived as a false self <strong>in</strong> personal experiencesfurther determ<strong>in</strong>ed by the “<strong>in</strong>ternal conception,”to which be<strong>in</strong>g one’s true self will be attributed.This is because the social self satisfies the desiresof others before its own.With the emergence of the sense of a subjectiveself <strong>and</strong> of the <strong>in</strong>fant’s newly acquired abilityto recognize <strong>in</strong> others a mental state similar toits own, the doma<strong>in</strong>s of privacy <strong>and</strong> <strong>in</strong>timacybecome possible. A third doma<strong>in</strong> of the self isestablished, the private self , composed of experiencesone does not share, but that are not disavowed.The emergence of the sense of a verbalself creates a new way of be<strong>in</strong>g-with betweenmother <strong>and</strong> child by resort<strong>in</strong>g to verbal symbols<strong>in</strong> shar<strong>in</strong>g mean<strong>in</strong>g. In this sense, languageacquisition is not only regarded as an access to<strong>in</strong>dividuation, but also as a powerful means ofma<strong>in</strong>ta<strong>in</strong><strong>in</strong>g union. Indeed, learn<strong>in</strong>g languagestrengthens the psychological bond first withrelatives <strong>and</strong> then with other members of thelanguage’s culture. This developmental visionof early childhood (0–2 years old) conceives ofa forg<strong>in</strong>g of the identity with<strong>in</strong> the crucible ofthe relationship. Infants establish themselves by<strong>in</strong>ternaliz<strong>in</strong>g types of <strong>in</strong>tersubjective relationships,that is, various forms of “be<strong>in</strong>g-with.”They are regarded from the start as differentiatedbe<strong>in</strong>gs. Another perspective on the constructionof identity emphasizes the object of the relationship;the person <strong>in</strong> the relationship rather thanthe manner of relat<strong>in</strong>g to him or her. This dist<strong>in</strong>ctionmatters from the moment we want tofollow Freud’s reason<strong>in</strong>g <strong>and</strong> associate partialidentification with only certa<strong>in</strong> traits of a person,as opposed to a global identification withhim or her.6. THE PROCESS OF IDENTIFICATIONAccord<strong>in</strong>g to a Freudian <strong>in</strong>terpretation, identificationis “the act by which an <strong>in</strong>dividual becomesidentical to another, or by which two humanbe<strong>in</strong>gs become identical” (p. 187).(6) Freud dist<strong>in</strong>guishesthree identification modes: a primaryidentification, a secondary identification, <strong>and</strong> apartial identification.Primary identification is born <strong>in</strong> the first relationshipwith the mother. It is the orig<strong>in</strong>al formof connection to another person, marked fromthe outset by affective ambivalence. Contrary toStern, Freud did not consider <strong>in</strong>fants to be differentiatedfrom the very beg<strong>in</strong>n<strong>in</strong>g. Rather, heassumes that as long as both sexual <strong>and</strong> generationallack of differentiation predom<strong>in</strong>ate <strong>in</strong> thefirst relationship with the mother, the ego <strong>and</strong> thealter-ego are not clearly differentiated <strong>and</strong> that,strictly speak<strong>in</strong>g, an object relation cannot beestablished. The difference between Stern’s <strong>and</strong>Freud’s po<strong>in</strong>ts of view results from a difference <strong>in</strong>criteria when talk<strong>in</strong>g about differentiation. Fromhis research on babies, Stern was able to highlightan <strong>in</strong>fant’s sense of self that implies the ability todifferentiate between self <strong>and</strong> others long beforethe other is constructed as a love object differentfrom the self, accord<strong>in</strong>g to Freud’s criteria.Characterized by primitive orality, the primaryidentification is thus an identification with therelative, the mother figure. It is experienced <strong>and</strong>symbolized as a bodily operation: <strong>in</strong>corporation.Freud believes that, <strong>in</strong> the same way, dur<strong>in</strong>gmourn<strong>in</strong>g the lost object is <strong>in</strong>corporated

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