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KENNETH PORTER, MD
Why might a 21st-century psychoanalyst be interested in spirituality? Freuds original vision offered the radical promise of human
freedom, based on a fearless search for the truth of the human
psyche. In the last century, this vision has been enriched by new
insights and perspectives. As spiritualitywe will see shortly what
that might meanincreasingly influences our patients and our
society, it offers the possibility of another new perspective: a new
spiritual model of the self, a new understanding of psychoanalytic
healing, and powerful suggestions for psychoanalytic technique.
Much has been written on spiritually oriented psychotherapy,
but a comprehensive theory of it has not yet emerged. This essay
represents a first step toward such a theory. I believe that integrating the insights of the great spiritual traditions into our clinical
Address correspondence to Kenneth Porter, MD, 25 East 87th Street, #11G, New York,
NY 10128. E-mail: rokeisland@aol.com
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spirituality by scholars and intellectual historians. Students cluster around these teachers, who are not interested in creating a
new religion, but generally are focused on revitalizing the religion
within which they themselves have matured. Their students, however, seeing their lives profoundly transformed by their teachers
spirituality, wish to perpetuate this core spiritual vision after their
teachers death. So an organized body of teachings and practices develops around the original teachers spiritual vision. This
becomes an institutionalized religion, which over time inevitably
becomes rigidified and bureaucratized.
Most of us in the West have had encounters with religion, particularly the Judeo-Christian version, rather than with the more
fresh and spontaneous experience of spirituality. For us spirituality may become conflated with religion, and religion may mean
artificiality and lack of aliveness. This unconscious bias or linkage
may block us from appreciating the transformative power of a spiritual approach that is radically different from what we think of as
religion. We will explore shortly what the term spirituality might
mean.
Although this distinction between religion and spirituality is
not always clear, and at times can be an oversimplification, it can
help us in questioning our preconceptions as we approach the
study of spirituality.
The New Age Movement
Finally on our list of barriers to understanding spirituality is the
confusion between genuine spirituality and what have come to be
known as New Age beliefs. Many of us came to maturity in the
1960s and 1970s, and spirituality may mean to us an ill-defined
but vaguely flaky conglomeration of naked hippies, encounter
group marathons, and crystal- and past-life-reading Internet ministers. Because the field of spirituality, possibly even more than
other fields, has its share of poseurs and self-promoting narcissists,
it is important not to confuse the wheat with the chaff.
What Is Spirituality?
Many of us have had moments when life seemed exquisitely beautiful. These may occur at lifes peak momentsa marriage, the
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of seeing the world in its original pristine nakedness and magical beauty,
unencumbered by our ideas. Although this may sound inviting, in fact it
was remarkably disturbing. All the normal ways we have of experiencing
reality were constantly being challenged. At one point I remember standing up and expressing to Almaas that I felt radically disoriented, as if I were
an infant whose brain was being poisoned by his mother.
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Buddhist Influences
In the 1950s, the most famous academic Buddhist teacher in the
United States was D.T. Suzuki. His historic seminar at Columbia
University, attended by, among others, Erich Fromm and Karen
Horney (as well as artists such as John Cage), had an enduring effect on American psychoanalysis (Suzuki, Fromm, & De
Martino, 1960). Following this, in the 1960s and 1970s, a number of prominent Buddhist teachers came to teach in America:
another Zen teacher named Suzuki (Shunryu), two major Tibetan
Buddhist leaders (Chogyam Trungpa and Tarthang Tulku); and
subsequently three young Americans who had been students of
Vipassana Buddhism in AsiaJack Kornfield, Joseph Goldstein,
and Sharon Salzbergfollowed. All these Buddhist teachers were
to have a major effect on those of the next generation of American
psychotherapists and analysts who had a spiritual perspective.
Existential Analysis
Also during the early part of the 20th century, a new movement
arose in European psychoanalysisExistential Analysisthat had
certain similarities to the spiritually oriented psychotherapy of
Jung and Assagioli. Existential analysis was influenced by the 19thcentury work of Kierkegaard and Nietzsche, and directly emerged
from the philosophical work of Husserl, Husserls student Martin
Heidegger, and Jean-Paul Sartre. These existential analysts took as
their main challenge the project of helping patients pass to an
authentic modality of existence (Ellenberger, 1958). Heideggers
revolutionary philosophical work had identified a mode of living that he called being-in-the-worldthe life of the authentic
human beingmany of whose aspects are similar to what I have
been calling the core spiritual experience (Heidegger, 1962).
Beginning with the work of Ludwig Binswanger (a lifelong friend
of Freud) and Eugene Minkowski, existential analysts brought
the basic ideas of the existential philosophers into the theory
and practice of psychoanalysis. This work was then brought to
the United States in the 1950s by Rollo May in his influential
book Existence, and developed by others (Binswanger, 1946/1958;
Minkowski, 1933; May, Angel, & Ellenberger, 1958; Bugenthal,
1987; Yalom, 1980, for example).
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Transpersonal Psychology
Later, in the 1970s, a group of psychologists in California
embarked on the project of integrating the great spiritual traditions into 20th-century psychology and psychotherapy. Terming
this approach transpersonal psychology, they took up William
Jamess challenge to develop a science of religious experience,
and also pursued Jungs idea that while the developmental task
of the first half of life is to master external reality, the task of the
second half of life is to develop spiritual maturity. Although never
a defined school, many prominent psychologists were associated
with this movement, including Abraham Maslow, Stanislaf and
Christina Grof, Ken Wilber, Michael Washburn, John Nelson,
Frances Vaughn, Roger Walsh, Charles Tart, and many others.
Maslow in particular developed a new branch of psychology, based
on what he called self-actualization (Maslow, 1968).
At the end of the last century, this spiritual ferment began
to affect the practice of psychoanalysis itself. Many psychoanalysts
and psychotherapists explored the relevance of religious and spiritual experience to clinical practice. These have included W. R.
Bion, Michael Eigen, Emmanuel Ghent, Jeffrey Rubin, Diane
Shainberg, Mark Finn, Paul Cooper, Tony Stern, Joseph Bobrow,
Jack Engler, Polly Young-Eisendrath, Barry Magid and Joko Beck,
Robert Langan, Jeremy Safran, Sara Weber, Henry Grayson, Victor
Schermer, John Welwood, and many others (Cooper, 2007; Engler,
2003; Finn, 2003; Grayson, 2003; Magid & Beck, 2002; Molino,
1998; Rubin, 1996; Safran, 2003; Schermer, 2002; Welwood, 2000).
It is probably Mark Epsteins work, written with psychoanalytic
sophistication and personal authenticity, that has done most to
bring spiritually oriented psychoanalysis to the attention of the
public (Epstein, 1995, 1998, 2001).
Bion
W. R. Bion also developed ideas that in some ways paralleled these
spiritual developments within psychotherapy. In his later years,
and especially in Attention and Interpretation (Bion, 1970/
1977), Bion developed the concept of what he termed O, a concept that has much in common with the core spiritual experience:
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I shall use the sign O to denote that which is the ultimate reality represented by terms such as ultimate reality, absolute truth, the godhead, the
infinite, the thing-in-itself . . . . It stands for the absolute truth in and of
any object; it is assumed that this cannot be known by any human being, it
can be known about, its presence can be recognized and felt, but it cannot
be known. It is possible to be at one with it (Bion, 1970/1977, p. 214).
Before beginning our exploration of this central issue in psychoanalysis, and my suggestions for a new conceptual scheme, I
want to acknowledge the extreme complexity of this subject and
the lack of unanimity in our field about such terms as self or
identity, to say nothing of the idea of adding the notion of the
soul to our discourse. I also want to acknowledge that my proposal below to equate soul and self may seem reductionistic,
and would be challenged by many, in part because of the religious
connotations of the term soul. I will attempt to clarify this matter further as we proceed. For now what I am proposing is one
possible way of introducing the spiritual into psychoanalysis, and
I claim for it only that it seems to me clinically and heuristically
useful, not that it is a fully evolved or final perspective.
History
The word self seems to have come into common psychoanalytic
usage in interpersonal, neo-Freudian, and self-psychological psychoanalysis. Today, in common analytic parlance, my sense is that
it is roughly used as a synonym for what used to be called the
psychethat is, for the nonmaterial aspect of the individual. Prior
to Freud, the term used in Western intellectual history for this
aspect of the individual was usually the word soul (Greek psyche), as used in a nonreligious sense by Plato and Aristotle, and
as used in a religious sense by the Judeo-Christian and Islamic
traditions.
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My preference would be for a term that has roots in the existentialist philosophical works of Sartre and Heidegger, in the
transpersonal work of Maslow, and that is currently in use by the
American spiritual teacher Andrew Cohen: the authentic self
(Cohen, 2008). What I am calling the authentic self has also been
termed the core spiritual self (Schermer, 2002; Grayson, 2003).
Here are some examples of this authentic self, as distinguished from the familiar self, from recent psychoanalytic writings: I have heard many people say that when they focus
on I-feeling and let it resonate, they sense reverberations of a
deeper fuller self, not merely as object, but as subject (Eigen,
1991/1999). The existential analyst Rollo May (May et al., 1958)
spoke of the patients experience of I-am. And Jungs concept
of the Self as the coherent, unified, and organizing center of the
selfas opposed to the egorefers to this same experience.
The Distinction Between the Familiar Self and Authentic Self in
Eastern Spiritual Traditions and in Lacan
The Eastern spiritual traditions have made the distinction between
the familiar self and the authentic self for many thousands of
years. The familiar self is considered in the East to be an artificial construction of the mind, based on self-images incorporated
in childhood. It is distinguished from the nonmaterial spiritual
aspect of the individual that I am terming the authentic self,
that in the Yoga Vedanta tradition is called atman and in the
Buddhist tradition is called Buddha nature.
In the West, the distinction between familiar and authentic
self has been illuminated in a technical paper by Epstein (1988)
and also, from another perspective, by Lacan, in his well-known
discussion of the ego and the mirror stage of childhood development. (Lacan speaks here of the ego as roughly equivalent to ego
identity, so far as I can determine):
Lacan describes the formation of ego identity as based on illusion. The
child sees in the mirror (or in the mirror of her mothers face) an illusory image of wholeness which is actually an imaginary experience, but
which the child takes to be an exact reflection of who she really is (Lacan,
1949/2002). The ego is an imaginary production, a crystallization or
sedimentation of images of an individuals own body and of self-images
reflected back to him or her by others. In contradistinction to Freud,
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Lacan maintains that this crystallization does not constitute an agency, but
rather an object (Fink, 1995).
I want to emphasize that I am not labeling Lacanian analysis spiritual. Rather, his analysis, which in modern terminology
might be called constructivist, points out the limitations of our
usual way of conceptualizing the self. This can open the door to a
deeper and potentially spiritual view of the self.
In summary, the conceptual scheme that I am proposing uses
the term soul or self to refer to the broadest aspect of what is
nonmaterial within the human being. The authentic self and the
familiar self are two different possible organizations of this soul.
For purposes of clarification, I want to add that the JudeoChristian and Islamic traditions employ the concept of soul in a
different way. These traditions do have a concept of what I am calling the authentic self, but, confusingly for us, they use the word
soul to refer to this authentic self. In my terminology, soul
refers to the broader nonmaterial aspect of the human being,
which can at times be organized into the authentic self or the
familiar self.
Relevance to Psychoanalytic Technique
Several important points can be suggested based on this discussion of the authentic (spiritual) self and the familiar self. First,
in this view of spiritual psychoanalysis, suffering or unhappiness
is not caused by conflict within the self, but by separation from
the authentic self. Second, for most individuals, the authentic
self turns out to be even more repressed or dissociated than the
Freudian unconscious. It seems ironic that there is an aspect of
unconscious process more threatening to us than even our deepest experiences of sadism, sexuality, guilt, and shameand this
deeper aspect is the spiritual unconscious, the authentic self. This
is the level of mature strength, power, wisdom, love, joy, peace,
and oneness that is a potential for us all. Referring to Bions concept of Owhich is the authentic selfs experience of spiritual
realityEigen writes, To id, ego, and superego resistance, add Oresistance. One wants and fears nothing more than what is real
(Eigen, 1998).
In a recent work, the spiritual teacher A. H. Almaas outlines
his belief that in infancy all human beings are able to experience
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a version of the authentic self (called Essence in his understanding), and that this is gradually repressed or dissociated as
a result of the normal maturational need to develop a socialized
ego structure (Almaas, 2004). This idea that the experience of the
authentic self may be lost is supported by a growing orientation
within our field to privilege the concept of dissociation over the
concept of repression. It has become apparent in clinical work
that entire self-states may be dissociated, and that dissociation in
fact may be a basic defense employed by all individuals, not just
those suffering from dissociative identity disorder.
This point of view dates from Janets groundbreaking work,
of course. Recently it has been suggested that, among analytically oriented psychotherapists, Jung may have been the first to
believe that dissociation was more primary than repression as a
defensive operation (Schwartz-Salant, 1995). This idea was elaborated in Fairbairns proposal that not just ideas, feelings, or objects
could be repressed, but also active organizations of the self, so that
every individual may be subject to ego-splitting (Fairbairn, 1952).
Sullivan also touched on similar ideas in his concept of the goodme, the bad-me, and the not-me (Sullivan, 1953), and Grotstein
has proposed the concept of dual-I-ness (Grotstein, 1999).
As studies of trauma have increasingly influenced our field,
many analysts have taken these concepts further, with Bromberg
(1998) stating that all personality disorders are dissociation-based,
and that the unconscious is best understood as containing dissociated self-states. Daviess work similarly embodies her belief that
the unconscious may best be thought of as dissociative rather than
repressive. In her work with Frawley, for example, Davies (Davies &
Frawley, 1994) has explored the clinical usefulness of conceptualizing split selves in patients who have suffered childhood sexual
abuse. (For an excellent overview of dissociation in analytic theory,
see Howell, 2005.)
A New Paradigm of Soul, Self, and Identity
To formulate a new theoretical paradigm, we could take as a starting point the work of Almaas. Almaas suggests that we view the
soul (or self) in the largest possible terms, being defined as a field
of consciousness. For psychoanalytic purposes, I will take this as a
useful working definition of the soul or self.
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What about the second part of the process, identifying with the
authentic self? This comes about primarily through the presence
of a particular field of experience between patient and analyst that
I propose to call communion.
Communion
Since Freud, our understanding of the analytic process has
expanded and matured.
We started from Freuds clear definition of psychoanalytic
actionmaking the unconscious conscious, or where id was,
ego shall be. Trauma and dissociation studies have taught us to
integrate vertical splits in the psyche. Interpersonal psychoanalysis, intersubjectivity, and relational psychoanalysis helped us see
that we need to conceptualize the healing process as two-body
(Mitchell & Aron, 1999). And recent developments have further
expanded our view, to consider not just patient and analyst but
some third factor. This could be called the field between patient
and analyst, or what Thomas Ogden has named the analytic
third (Ogden, 2004).
Many of us have had the experience of being with a patient
in a way that feels magical. We might at a given moment find
ourselves surprised to be saying something, and then equally
surprised when the patient responds intensely. This then can trigger another statement from us, which may seem to come from
nowhere, meaning it is not necessarily calculated or premeditated.
What ensues may feel like a flowing dance, where patient and analyst seem to effortlessly exchange comments, or laughter, or tears,
or perhaps silence, in a way that comes to take on a life and a healing power all its own. These are the moments that feel like grace,
and make us remember why we are analysts.
In such experiences, can we understand what is going on?
At these times the analyst is connected to her authentic selfthis
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In any case, to make explicit what has been implied in this discussion, whether we term it the real relationship, the dialectical
relationship, the personal or new relationship, or communion, it
is the point of view of spiritual psychoanalysis that it is this relationship of reverberating authenticity that is ultimately preeminent in
power to heal. This distinguishes this model from traditional and
current psychoanalytic thinking in a very important way.
There are two interesting and somewhat paradoxical statements to make about technique in spiritual psychoanalysis. The
first is that the basic technique is no technique, because any
technique tends to objectify the patientthe direct opposite
of the spiritual psychoanalytic approach. The second statement
is that if we do in fact want to talk about the technique of the
analyst, the analysts most important technical tool is her psychological and spiritual maturity. The most important action a
spiritual analyst can take to improve her professional functioning is to maximize her personal growth. This may recall Freuds
well-known statement, made in Analysis Terminable and Interminable
(Freud, 1937, pp. 247, 249):
It cannot be disputed that analysts in their own personalities have not
invariably come up to the standard of psychical normality to which they
wish to educate their patients . . . . Every analyst should periodicallyat
intervals of five years or sosubmit himself to analysis once more, without
feeling ashamed of taking this step.
Presence
To say that the basic technique of spiritual psychoanalysis is no
technique is to say that the primary job of the analyst is simply to
be with her patient. Another way that this point has been made
is to say that the most important aspect of the analyst is what has
been called her presence.
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There are then two kinds of thinking, each justified and needed in its
own way: calculative thinking and meditative thinking. Calculative thinking may someday come to be accepted and practiced as the only way of
thinking . . . . Then man would have denied and thrown away his own
special naturethat he is a meditative being . . . . [with] openness to the
mystery (Heidegger, 1966).
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Contributor
Kenneth Porter, MD, is a spiritual psychiatrist and psychoanalyst. He is
a teacher of Buddhism and Buddhist meditation, a student of Kundalini
Science (Swami Chandrasekharanand Saraswati), and a teacher-in-training
in the Diamond Approach of A. H. Almaas, a spiritual path that integrates
Western depth psychology and Eastern mysticism. He is Past-President of
the Association for Spirituality and Psychotherapy, and is a teacher and
author in the field of psychoanalytic group psychotherapy.