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Affect Regulation and the Repair of the Self (Norton Series on Interpersonal Neurobiology) [Hardcover]

Allan N. Schore
4.0 out of 5 stars  See all reviews (2 customer reviews)

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Book Description

May 17, 2003 0393704076 978-0393704075 1

This volume (one of two) is the first presentation of Schore's comprehensive theory in book form, as it has developed since 1994.

In 1994 Allan Schore published his groundbreaking book, Affect Regulation and the Origin of the Self, in which he integrated a large number of experimental and clinical studies from both the psychological and biological disciplines in order to construct an overarching model of social and emotional development. Since then he has expanded his regulation theory in more than two dozen articles and essays covering multiple disciplines, including neuroscience, psychiatry, psychoanalysis, developmental psychology, attachment, and trauma. Affect Regulation and the Repair of the Self contains chapters on neuropsychoanalysis and developmentally oriented psychotherapy. It is absolutely essential reading for all clinicians, researchers, and general readers interested in normal and abnormal human development.

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Affect Regulation and the Repair of the Self (Norton Series on Interpersonal Neurobiology) + Affect Dysregulation and Disorders of the Self + The Science of the Art of Psychotherapy (Norton Series on Interpersonal Neurobiology)
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Editorial Reviews

Review

“Oliver Sachs's work has made a great deal of difference to neurology, but Schore's is perhaps even more revolutionary.” (Judith Issroff - Contemporary Psychoanalysis )

“This monumental work, divided into two separate volumes, offers a synthesis of affect and its dysregulation.” (Psychotherapy and Psychosomatics )

“Schore offers a contemporary perspective on the solution of puzzles regarding mind and body, emotional health and dysfunction.” (Joseph Lichtenberg, M.D., Editor-in-Chief, Psychoanalytic Inquiry )

“A fascinating integration between the clinical and the neuroscientific and advances the necessary, promising and vital dialogue between the two.” (Daniel N. Stern, M.D., Professor of Psychology at the University of Geneva, Switzerland )

“Schore's magnificent integration of research on attachment and developmental neuroscience demonstrates how we fundamentally thrive in pairs and groups.” (Bessel A. van der Kolk, M.D., Professor of Psychiatry, Boston University School of Medicine )

“A welcome carpet for a new generation of neuropsychoanalytic research that supports and advances humane and sensitive psychotherapeutic practice.” (Jaak Panksepp, Ph.D., Distinguished Research Professor Emeritus, Bowling Green State University )

“A wonderful window for psychotherapists to look at neuroscience, go back to the consulting room more enlightened, confident and competent.” (Peter Fonagy, Ph.D., F.B.A., Freud Memorial Professor of Psychoanalysis at University College London )

About the Author

Allan N. Schore, PhD, is on the clinical faculty of the Department of Psychiatry and Biobehavioral Sciences, UCLA David Geffen School of Medicine, and at the UCLA Center for Culture, Brain, and Development. He is author of three seminal volumes, Affect Regulation and the Origin of the Self, Affect Dysregulation and Disorders of the Self and Affect Regulation and the Repair of the Self, as well as numerous articles and chapters. His Regulation Theory, grounded in developmental neuroscience and developmental psychoanalysis, focuses on the origin, psychopathogenesis, and psychotherapeutic treatment of the early forming subjective implicit self. His contributions appear in multiple disciplines, including developmental neuroscience, psychiatry, psychoanalysis, developmental psychology, attachment theory, trauma studies, behavioral biology, clinical psychology, and clinical social work. His groundbreaking integration of neuroscience with attachment theory has lead to his description as "the American Bowlby" and with psychoanalysis as "the world's leading expert in neuropsychoanalysis." His books have been translated into several languages, including Italian, French, German, and Turkish.

Product Details

  • Hardcover: 384 pages
  • Publisher: W. W. Norton & Company; 1 edition (May 17, 2003)
  • Language: English
  • ISBN-10: 0393704076
  • ISBN-13: 978-0393704075
  • Product Dimensions: 7.1 x 1.5 x 9.6 inches
  • Shipping Weight: 1.7 pounds (View shipping rates and policies)
  • Average Customer Review: 4.0 out of 5 stars  See all reviews (2 customer reviews)
  • Amazon Best Sellers Rank: #244,211 in Books (See Top 100 in Books)

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12 of 12 people found the following review helpful
4.0 out of 5 stars Describes Problem Solidly, Very Vague on Solutions December 15, 2010
Format:Hardcover|Amazon Verified Purchase
Repair of the self is a topic that is vital. Affect regulation is central to that. This book is not too practically useful, however. Schore does not seem to write as a therapist or clinician, providing insight into this very human task. Rather he seems to function as a journalist of sorts, reporting on the research reports in this area. This work is indeed a compendium. Schore has worked very hard. It does seem that Schore's contribution to the topic is not a 'fleshing out' of an idea, but rather is a demonstration that many different theoreticians agree on an important point.

That point is, to heal emotionally, the right brain of the helper has to connect to the right brain of the sufferer, just as a mother does for an infant. A mother acting this way as a self-object for the infant allows the infant to develop a self. This is plan A. If Plan A goes wrong, and it often does, then the grown infant ends up sometimes in a therapist's office. Many schools of therapy believe that Plan A is not available to adults, and so they offer some Plan B or another. Schore is clearly with the camp that believes Plan A is still the way, even at midlife.

Schore does not however, offer much practical advice on how to do this. Like most books on therapy, it is 99+% about the problem formation and less than 1% about problem solution. Knowing even correctly how a problem forms is not in itself a solution. Some therapists may indeed successfully act as self-objects for clients, but clearly just willing it wont produce this capacity in a therapist. For a rare experience of a therapist who has equal to say about the solution as he does the problem, read Alexander Lowen (or Wilhelm Reich)
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70 of 87 people found the following review helpful
4.0 out of 5 stars Brilliant, but sloppy ... April 5, 2006
Format:Hardcover
Schore's integrative affect-regulation theory is based on the notion that the right-brain-to-right-brain synchronization of affect-based mother-infant communication ("attachment") is the foundation and model of all later affect regulation, both as the body-based origin of the self and for later psychotherapeutic and other repair of the self. This theory is brilliant and important, and Schore seems to have read every possible piece of research in every possible relevant field, especially psychoanalysis and neurophysiology, to support it and flesh it out as complexly as possible.

But he hasn't, of course. No one could. His theory is utterly congruent with the dialogism of Mikhail Bakhtin, who is never mentioned in the book; overlaps strikingly with the psychoanalytical theory of Jacques Lacan, who is never mentioned; and in particular is almost identical to the psychoanalytical theory of Julia Kristeva (who comes out of Bakhtin and Lacan): "The interactive 'transfer of affect' between the right brains of the members of the mother-infant and therapeutic dyads is thus best described as intersubjectivity" (48). This is Schore, but could be Kristeva--except that Kristeva would have written of semiotic intertextuality as well, and with far more style.

Schore draws heavily on Antonio Damasio's somatic-marker hypothesis and other neurological research into the social nature of affect regulation, with the result that regulation theory is thoroughly congruent with somatic theory; the major difference is that he focuses exclusively on social dyads (mother-infant, therapist-patient) and tends to neglect the importance of larger social groups for affect regulation. At the very least, one would have expected some discussion of the mother-father-infant triad, which was so important for Freud, and remained so important for his most radical followers, including Lacan and Kristeva, who associate what Schore calls affective right-brain body-based communication with the mother and verbal left-brain symbolic communication with the father. And certainly Freud was increasingly fascinated, toward the end of his life, especially in Civilization and its Discontents, with societal regulation of affect (the Unbehagen or dysregulation caused by misattuned societal regulation of Behagen or pleasure). There is not a trace of this large sociological interest in Schore. He would probably defend his exclusive focus on dyadic relationships on the basis that he is primarily interested in the therapist-patient dyad as a replication in later life of the dyad between the primary caregiver (usually the mother) and the infant; but there are important things to be said about group therapy and family therapy as microcosms of general societal regulation of affect. How do groups of friends regulate affect in their members? How do workplaces create an affect-regulatory "culture"? How do religions and social classes and other large-scale social subcultures regulate their adherents' affects? What is patriotism, what is school spirit, what is the mob mentality, what is the scholarly community, if not group affect regulation?

Schore is also sloppy. I'm not sure whether this is a result of his productivity--he published both this book and its companion-piece, Affect Dysregulation and the Disorders of the Self, in the same year, 2003, with the same publisher, Norton--or his not-entirely-regulated personality, but the book is repetitive and stylistically awkward. Its repetitive nature is partly due to the haste with which it was assembled: it is cobbled together of previously published articles and lectures, with little or no attempt made to streamline them for book publication. As a result, we read the same descriptions of right-brain-to-right-brain synchronicity, for example, over and over. In the first chapter I was overwhelmingly impressed with Schore's brilliance; in the second, the Seventh Annual John Bowlby Memorial Lecture, I was still onboard but got a little impatient with all the repetition from the first; by the third, on Melanie Klein's projective identification, I started getting irritated and inclined to put the book down, or skip ahead. Partly also my irritation was due to the fact that the long third chapter contains enormous quantities of internal repetition as well. Often consecutive paragraphs will restate the same ideas in slightly different terms. Schore's style, too, reads like a VERY rough first draft: "a particularly emotionally demanding task." That's the sort of thing you write on your first pass through an idea, and then on a second or third pass notice is awkward and edit into "a particularly demanding task emotionally." But Schore's book reads as if he only made the one pass: wrote everything down quickly and sent it to the publisher. Possibly he believes that scientists don't need to worry about style--that style is an obsession of humanistic writers? But there is well-written English in his book, in some of the many quotations from psychoanalytical and neurophysiological researchers. Other scientists care about style; Schore's indifference to it has more to do with his personality.

The biggest shock to my admiration for Schore's book came, though, when I happened to get interested in one particular claim he made and decided to read his primary sources. Here's the passage that interested me:

"Sensations from the internal environment--viscero-sensation--are thought to be acquired via a 'sixth sense,' a faculty of perception that does not depend upon any outward sense that is used to describe 'heightened sensitivity, "gut-feeling" or "psychic" ability' (Zagon, 2001, p. 671). Neuroscience conceptions which postulate that sensory inputs originating from the internal environment act to alter (heighten or dull) the perception of the outside world and elicit a behavioral response (Zagon, 2001) mirror Freud's (1915/1957a) concept of drive, 'the psychical representative of the stimuli originating from the organism and reaching the mind'" (81).

So I went and got Aniko Zagon's article, "Does the Vagus Nerve Mediate the Sixth Sense?," from Trends in Neurosciences 24.11 (November 2001): 671-73:

"The five traditional senses-sight, hearing, touch, taste and smell-acquire information about the external environment. Therefore sensations from the internal environment--viscero-sensation--are acquired via a 'sixth sense'. Sixth sense, 'a faculty of perception that does not depend upon any outward sense' [endnote: C. T. Onions, ed., The Shorter Oxford English Dictionary (1965)], is used to describe heightened sensitivity, 'gut-feeling' or 'psychic' ability. Can sensory inputs that originate from the internal environment act to alter--heighten or dull--the perception of the outside world and influence the elicited behavioural response?" (671).

That, my friends, is a classic case of plagiarism. Nor does Schore only plagiarize Zagon; he also plagiarizes The Shorter Oxford English Dictionary, simply removing Zagon's quotation marks from around that definition of "sixth sense" and presenting it as his own formulation. And, like a lazy undergraduate looking for a quick way to avoid having to write his or her own paper, in casting about for a slight alteration to make in Zagon's text so it won't feel to him like he's plagiarizing, Schore actually changes the meaning of the sentence: "elicit a behavioral response" does not mean the same thing as "influence the elicited behavioral response."

Need I point out that this is not only highly unethical but illegal? Probably not. All of us catch our undergraduate students doing this every semester. All of us use examples like this to teach our students what plagiarism is--though I'm a bit leery of using this particular example with my students, because Schore seems to be getting away with it, which would send the wrong message to them: I very much want to convince them that they should NOT expect to get away with it. Finding this kind of theft in a book that I otherwise admire greatly is very troubling to me, and makes me wonder how to rate the item, just as I wonder how to grade an otherwise excellent undergraduate paper that (perhaps unintentionally) plagiarizes. An A (5 stars) for the brilliant ideas, an F (1 star) for the plagiarism?
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