Five Kohutian Postulates

Psychotherapy Theory from an Empathic Perspective

By (author) Ronald R. Lee, Angie Rountree, Sally McMahon

Publication date:

16 December 2008

Length of book:

296 pages

Publisher

Jason Aronson, Inc.

ISBN-13: 9780765706331

In comparison with the traditional notion of science as generalizable and predictive knowledge, Five Kohutian Postulates presents psychotherapy as a science of the unique. It uses the philosopher Imre Lakatos' emphasis on research programs that organize around a central postulate and auxiliary postulates to explicate Heinz Kohut's "self-psychology." Kohut's psychotherapy theory entails four auxiliary postulates that are interlinked to the central postulate of empathic understanding, and to each other. The main chapters illustrate how these postulates function as orienting stars in theoretical space to foster a firm psychotherapeutic identity, and to concurrently foster the inclusion of complementary ideas from other psychotherapy theories. These chapters also reveal how self-psychology exemplifies Lakatos's idea that the most valuable scientific theory is regenerative. The last chapter points to the need for post-modern psychoanalytic psychotherapy to take seriously the idea of a professional commitment to the patient.
Lee and his colleagues propose 'a healing research paradigm' that is built on the foundation of Kohut's major theoretical contributions. The depth and breadth of scholarship is exceptional and the clinical material is clear. This deceptively simple organization of ideas provides a sound scientific basis for evaluating and ultimately improving outcomes in long-term psychotherapy. Given the sometimes strained relationship between the empirically validated treatments (EVT) movement and clinicians in the trenches, especially psychoanalytic practitioners, this book is a very strong answer to the demand for evidence for the effectiveness of treatments other than pharmacologic or uniform protocols.