Pre- and Postnatal Repercussions of Handicapping Conditions upon the Narcissistic Line of Development
Publication Date:March 1993
In this paper, I examine narcissistic difficulties experienced by the handicapped youngster, especially to the extent that they are anchored in pre-, peri- and early post-natal experiences that were cast in the molds of parental narcissistic vulnerability and of impediments to the infantile attainment of a core sense of self. Considerations pertain to relatively generalizable consequences of infant handicap, encompassing the potential effects upon narcissism of a broad range of developmental disabilities.
Ainsworth, M.D.S., Bell, S.M. & Stayton, D. (1974). Infant-mother attachment and social development. In M.P. Richards (Ed.), The introduction of the child into the social world London: Cambridge University Press.
Akhtar, S. & Thompson, J.A. (1982). Overview: Narcissistic personality disorder. American Journal of Psychiatry 139, 12-20.
Atwood, G.E. & Stolorow, R.D. (1984). Structures of subjectivity. Hillsdale, N.J.: Analytic Press.
Bach, S. (1977). On the narcissistic state of consciousness. International Journal of Psychoanalysis, 58, 209-233.
Beebe, B. (1984). Mother-infant mutual influence and precursors of self- and object-representations. In J. Masling (Ed.), Empirical studies of psychoanalytic theories, Vol. 2. Hillsdale, NJ: Analytic Press.
Beebe, B. & Gerstman, L.J. (1980). The "packaging" of maternal stimulation in relation to infant facial-visual engagement: A case study at four months. Merrill-Palmer Quarterly 26, 321-339.
Beebe, B. & Lachmann, F.M. (1988). Mother-infant mutual influence and precursors of psychic structure. In A. Goldberg (Ed.), Frontiers in self psychology: Progress in self psychology, 3. Hillsdale, NJ: Analytic Press.
Beebe, B. & Stern, D. (1977). Engagement-disengagement and early object experiences. In N. Freedman & S. Grand (Eds.), Communicative structures and psychic structures. New York: Plenum.
Bibring, G.L. (1959) Some considerations of the psychological processes of pregnancy. Psychoanalytic Study of the Child 14, 113-121.
Bretherton, I. (1990). Open communication and internal working models: Their role in the development of attachment relationships. In R. Thompson (Ed.), Nebraska symposium on motivation, 1988. Lincoln: Univ. of Nebraska Press.
Bobath, B. & Bobath, K. (1975). Motor development in the different types of cerebral palsy. London: Heinemann.
Bowlby, J. (1973). Attachment and loss, Vol. 2.: Separation. New York: Basic Books.
Charone-Sossin, J. & Sossin, K.M. (1987). Depressive reactions to the birth of a handicapped child. In R. Formaneck & A. Gurian (Eds.). Women and depression. New York: Springer.
Emde, R.N., Gaensbauer, T.J. & Harmon, R.J. (1976). Emotional expression in infancy. Psychological Issues, Mono. 10. New York: International Universities Press.
Emde, R.N. & Sorce, J.F. (1983). The rewards of infancy: Emotional availability and maternal referencing. In J. Call, E. Galenson & R. Tyson (Eds.), Frontiers of infant psychiatry. New York: Basic Books.
Greenacre, P. (1960). Considerations regarding the parent-infant relationship. The International Journal of Psycho-Analysis 41, 571-584.
Herzog, J.M. (1982). Patterns of expectant fatherhood: A study of the fathers of a group of premature infants. In S.H. Cath, A.R. Gurwitt & J.N. Ross (Eds.), Father and child: Developmental and clinical perspectives. Boston: Little, Brown.
Kestenberg, J.S. (1965). Self, environment and objects. Unpublished.
__ (1975). Children and parents. New York: Aronson.
__ (1985). The flow of empathy and trust between mother and child. In E.J. Anthony & G.H. Pollack (Eds.), Parental influences in health and disease. Boston: Little, Brown.
Kestenberg, J.S. & Borowitz, E. (1983). Thoughts on the development of narcissism. Presented at New England Psychoanalystic Society Symposium, New Haven, CT.
__ (1989). On narcissism and masochism in the fetus and the neonate. Presented at the Fourth International Congress on Pre- and Perinatal Psychology: Frontiers and Front Lines of Human Development. Amherst: University of Massachusetts.
Kestenberg, J.S. & Brenner, I. (1987). Narcissism in the service of survival. Presented at Meetings of the American Psychoanalytic Association, Chicago.
Kestenberg, J.S. & Buelte, A. (1977a). Prevention, infant therapy and the treatment of adults I: Toward understanding mutuality. International Journal of Psychoanalytic Psychotherapy 6, 339-396.
__ (1977b). Prevention, infant therapy and the treatment of adults 2: Mutual holding and holding oneself up. International Journal of Psychoanalytic Psychotherapy, 6, 334-346.
__ (1983). Prevention, infant therapy and the treatment of adults, 3: Periods of vulnerability in transition from stability to mobility and vice versa. In J. Call, E. Galenson & R.L. Tyson (Eds.), Frontiers of Infant Psychiatry. New York: Basic Books.
Kestenberg, J.S. & Sossin, K.M. (1979). The role of movement patterns in development, 2. New York: Dance Notation Bureau.
Kohut, H. (1971). The analysis of the self. New York: International Universities Press.
Kohut, H. & Wolf, E. (1978). The disorders of the self and their treatment: An outline. International Journal of Psychoanalysis 59, 413-25.
Lax, R. (1972). Some aspects of the interaction between mother and impaired child: Mother's narcissistic trauma. International Journal of Psycho-Analysis 53, 339-344.
Lichtenberg, J. (1981). Implications for psychoanalytic theory of research on the neonate. International Review of Psycho-Analysis, 8, 35-52.
MacFarlane, J. (1975). Olfaction in the development of social preferences in the human neonate. In M. Hofer (Ed.), Parent-infant interaction. Amsterdam: Elsevier.
Mintzer, D., Als, H, Tronick, E. & Brazelton, T.B. (1984). Parenting an infant with a birth defect: The regulation of self-esteem. The Psychoanalytic Study of the Child, 39, 561-589.
Modell, A. (1984). Psychoanalysis in a new context New York: International Universities Press.
Pine, F. (1988). The four psychologies of psychoanalysis and their place in clinical work. Journal of the American Psychoanalytic Association 36, 571-596.
Reich, A. (1953). Narcissistic object-choice in women. In Psychoanalytic Contributions. New York: International Universities Press.
Redding, R., Harmon, R.J. & Morgan, G.A. (1990). Relationships between maternal depression and infants' mastery behaviors. Infant Behavior and Development 13, 391-396.
Romer, G. & Sossin, K.M. (1990). Parent-infant holding patterns and their impact on infant perceptual and interactional experience. Pre- and Peri-Natal Psychology 5, 69-85.
Roos, P. (1963). Psychological counseling with parents of retarded children. Mental Retardation 1, 345-350.
Solnit, A.J. & Stark, M.H. (1961). Mourning and the birth of a defective child. Psychoanalytic Study of the Child 16, 523-537.
Stern, D.N. (1971). A micro-analysis of mother-infant interaction: Behaviors regulating social contact between a mother and her three-and-a-half-month-old twins. Journal of the American Academy of Child Psychiatry 13, 402-21.
Stern, D.N. (1985). The interpersonal world of the infant New York: Basic Books.
Winnicott, D.W. (1955). Aggression in relation to emotional development. In Through pediatrics to psychoanalysis. New York: International Universities Press, 1975.
__ (1960). The theory of the parent-infant relationship. The International Journal of Psycho-Analysis, 41, 585-595.
K. Mark Sossin, Ph.D.
This paper is adapted from a panel presentation in a symposium on psychoanalytic perspectives on pre- and perinatal psychology, chaired by Judith Kestenberg, M.D., at the Fourth International Congress on Pre- and Perinatal Psychology: Frontiers and Front Lines of Human Development, Amherst, Massachusetts, August, 1989. K. Mark Sossin, Ph.D. is Adjunct Associate Professor of Psychology and Co-Director of Infant/ Toddler Parent Research at Pace University, New York; Supervising Psychologist at Child Development Research, Sands Point, N.Y.; and a clinical psychologist, and child psychoanalyst, in private practice. Address correspondence to the author at 1893 Stewart Avenue, New Hyde Park, N.Y. 11040.