HARRY STACK SULLIVAN’S INTERPERSONAL THEORY Prepared by: Gerald M. Llanes, RPm, LPT OVERVIEW OF INTERPERSONAL THEORY • Harry Stack Sullivan, the first American to construct a comprehensive personality theory, believed that people developed their personality within a social context. • Without other people, Sullivan contended, humans would have no personality. • “ A personality can never be isolated from the complex of interpersonal relations in which the person lives and has his being” (Sullivan, 1953) • Sullivan insisted that knowledge of human personality can be gained only through the scientific study of interpersonal relations. OVERVIEW OF INTERPERSONAL THEORY • His interpersonal theory emphasizes the importance of various development stages infancy, childhood, juvenile era, preadolescence, early adolescence, late adolescence, and adulthood. • In other ways, Sullivan’s theory is dramatically different from Freud. In fact, some writers prefer to place Sullivan’s theory in a category other than psychoanalytic approach. OVERVIEW OF INTERPERSONAL THEORY • His rejection of many Freud’s concepts and his emphasis on this interpersonal nature of personality places Sullivan’s approach somewhere between that of the psychoanalysis and that of the social learning theorists. Harry Stack Sullivan Harry Stack Sullivan’s Short Biography • Harry Stack Sullivan was born and trained in America. • He born in the small farming town in Norwich, New York on February 21, 1892, the sole surviving child of poor Irish catholic parents. • When Sullivan was 8 1/2 years old he formed a close relationship with a 13-year-old boy from neighboring farm. This chum was Clarence Bellinger, who lived a mile beyond Harry. Harry Stack Sullivan’s Short Biography • In other school district. Although the two boys were not peers chronologically, they had much common socially and intellectually. • Both later became psychiatrists and neither ever married. The relationship had a transforming effect on Sullivan’s life. It awakened in him the power of intimacy, that is the ability to love another who was more or less like himself. Harry Stack Sullivan’s Short Biography • After a rather poor education. Sullivan flunked out of college and obtained a medical degree from a soon-defunct medical school. • He worked as a psychoanalyst and from that experiences eventually developed his own theory of personality. Harry Stack Sullivan’s Short Biography • On the personal side, Sullivan was not comfortable with this sexually and had ambivalent feelings toward marriage. As an adult he brought into his home a 15-year- old boy who was probably a former patient. This young man James Inscoe remained with Sullivan for 22 years, looking after his financial affairs, typing manuscripts, and generally running the household. • Although Sullivan never officially adapted James, he regard him as a son and even had his legal name changed to James I. Sullivan. SULLIVAN’S PRINCIPLES / CONCEPT SULLIVAN’S PRINCIPLES / CONCEPT • A. TENSION- It refers to the potentiality for action that may or may not be experienced in awareness. Thus, not all tensions are consciously felt. Sullivan recognized two types of tensions: needs and anxiety. • NEEDS- these are tensions brought on by biological imbalance between a person and the physiochemical environment, both inside and outside the organism. Although needs originally have a biological component, many of them from the interpersonal situations. For Sullivan, the most basic interpersonal need is tenderness. SULLIVAN’S PRINCIPLES / CONCEPT • ANXIETY • It is the chief disruptive force blocking the development of healthy interpersonal relations. • Severe anxiety makes people incapable of learning, impairs memory, narrows perceptions, and may event result in complete amnesia because anxiety is painful people have a natural tendency to avoid it. • Inherently preferring the state of euphoria or complete lack of tension. SULLIVAN’S PRINCIPLES / CONCEPT • B. ENERGY TRANSFORMATIONS • These are the tensions that are transformed into actions, either overt or covert. • This somewhat awkward term simply refers to our behavior that are aimed at satisfying needs and reducing anxiety the two great tensions. SULLIVAN’S PRINCIPLES / CONCEPT • C. PERSONIFICATIONS • A mental image we have of other people and of ourselves. • Personification need not to correspond to reality, for the importance of how they influence our interactions with others lies in the individually different way in which we conceived of the other person. SULLIVAN’S PRINCIPLES / CONCEPT • 1. Bad- Mother, Good-Mother • The bad-mother personification grows out of infant’s experiences with a nipple that does not satisfy their hunger needs. • All infants experience the bad-mother personification, even though their real mothers may be loving and nurturing. SULLIVAN’S PRINCIPLES / CONCEPT • Later, infants acquire a good-mother personification as they become mature enough to recognize the tender and cooperative behavior of their mothering one. • Still later, these two personifications combine to form a complex and contrasting image of the real mother. SULLIVAN’S PRINCIPLES / CONCEPT • 2. ME PERSONIFICATION • The most noteworthy of the personifications are those related to the self. According to Sullivan, we all form images of ourselves, and these images fall into three basic categories: SULLIVAN’S PRINCIPLES / CONCEPT • 2.1 The good-me personification- consist of those aspects of ourselves that we feel good about that have been rewarded in the past, and that are not associated with anxiety. • 2.2 The bad-me personification - reflects those parts of our experiences that we would rather not think about, that have not been rewarded, and that have associated with anxiety. SULLIVAN’S PRINCIPLES / CONCEPT • 2.3 The not-me personification- represents those aspect of ourselves which are so threatening that we dissociate them from the self-system and maintain them in our unconscious. This process of dissociation is similar to Freud’s concept of repression. SULLIVAN’S PRINCIPLES / CONCEPT • 3. EIDATIC PERSONIFICATION • One Sullivan’s most interesting observations was that people often create imaginary traits that they project onto others. • Include in these eidetic personifications are the imaginary playmates that preschool- aged children often have. • These imaginary friends enable children to have safe, secure relationship with another person, even through that person is imaginary. Imaginary friend SULLIVAN’S PRINCIPLES / CONCEPT • D. DYNAMISM refer to a typical pattern of behavior. • 1.MALEVOLENCE • The disjunctive dynamism of evil and hatred is called malevolence, define by Sullivan as a feeling of living among one's enemies. • Those children who became malevolent have much difficulty giving and receiving tenderness or being intimate with other people. SULLIVAN’S PRINCIPLES / CONCEPT • 2.INTIMACY • The conjunctive dynamism marked by a close personal relationship between two people of equal status is called intimacy. • Intimacy facilitates interpersonal development while decreasing both anxiety and loneliness. intimacy must not be confused with sexual interest. In fact, It develops prior to puberty. SULLIVAN’S PRINCIPLES / CONCEPT • 3. LUST • In contrast to both malevolence and intimacy lust is isolating dynamism. That is a selfcentered need that can be satisfied in the absence of an intimate interpersonal relationship. • In order words although intimacy presupposes tenderness or love, lust is based solely on sexual gratification and requires no other person for its satisfaction. SULLIVAN’S PRINCIPLES / CONCEPT • 4. SELF-SYSTEM • The most inclusive of all dynamics is the selfsystem or that pattern of behaviors that protects us against anxiety and maintain our interpersonal security. • Experience that are inconsistent with our selfsystem threaten our security and necessitate our use of security operations, which consist of behaviors designed to reduce interpersonal tensions. • One such security operation is dissociation which includes all those experiences that we block from awareness. Another is selective intention, which involves blocking only certain experiences from awareness. SULLIVAN’S PRINCIPLES / CONCEPT • E. LEVEL OF COGNITION IN INTERPERSONAL THEORY. • Sullivan recognized three levels of cognition or ways of perceiving things prototaxic, parataxic, and syntaxic SULLIVAN’S PRINCIPLES / CONCEPT • 1. PROTOTAXIC LEVEL • Experiences that are impossible to put into words or to communicate to others are called prototatxic. • Newborn infants experience images mostly on the prototataxic level, but adults too frequently have preverbal experiences that are momentary and incapable of being communicated. SULLIVAN’S PRINCIPLES / CONCEPT • 2. PARATAXIC LEVEL • Experiences that are prelogical and nearly impossible to accurately communicate to others are called parataxic. • Included in these are erroneous assumptions about cause and effect which Sullivan termed parataxic distortions. SULLIVAN’S PRINCIPLES / CONCEPT • 3. SYNTAXIC LEVEL • Experiences that can be accurately communicated to others are called syntaxic. • Children become capable of syntaxic language at about 12 to 18 months of age when words begin to have the same meaning for them that they do for others. SULLIVAN’S PRINCIPLES / CONCEPT • F. STAGES OF DEVELOPMENT IN INTERPERSONAL THEORY. SULLIVAN’S PRINCIPLES / CONCEPT • 1. INFANCY (0-2 years) SULLIVAN’S PRINCIPLES / CONCEPT • 1. INFANCY (0-2 years) • The period from birth until the emergence of syntaxic language, usually at about age 18-24 months a time when child receives tenderness from the mothering one while also learning anxiety through an empathic linkage with the mother. • Anxiety may increase to the point of terror, but such terror is controlled by the built-in protects of apathy and somnolent detachment that allow the baby to go to sleep. • During infancy children use autistic language, that is private language that makes little or no sense to other people. SULLIVAN’S PRINCIPLES / CONCEPT • 2. CHILDHOOD (2-5years) SULLIVAN’S PRINCIPLES / CONCEPT • 2. CHILDHOOD (2-5years) • The stage that last from the beginning of syntaxic language until the need for playmates of equal status is called childhood. • The child's primary interpersonal relationship continues to be with the mother who is now differentiated from other persons who nurture the child. • Besides their parents, preschool-aged children often have one other significant relationship an imaginary playmate. SULLIVAN’S PRINCIPLES / CONCEPT • 3. JUVENILE ERA (6-8 ) SULLIVAN’S PRINCIPLES / CONCEPT • 3. JUVENILE ERA (6-8 1/2 ) • The juvenile stage begins with the need for peers of equal status and continues until the child develops a need for an intimate relationship with a chum. At this time children should learn how to compete to compromise and to cooperate. • These three abilities. As well as an orientation toward living, help a child develop intimacy, the chief dynamism of the next developmental stage SULLIVAN’S PRINCIPLES / CONCEPT • 4. PREADOLECENCE (8½ -13 years) SULLIVAN’S PRINCIPLES / CONCEPT • 4. PREADOLECENCE (8½ -13 years) • Perhaps the most crucial stage in preadolescence because mistakes made earlier can be corrected during preadolescence are nearly impossible to overcome in later in life. • Preadolescence spans the time from the need for a single Best friend until puberty. • Children who do not learn intimacy during preadolescence have added difficulties relating potential sexual partners during later stages SULLIVAN’S PRINCIPLES / CONCEPT • 5 EARY ADOLESCENCE. ( 13 TO 15 YEARS) • Begins with puberty and ends with the need for sexual love with one person. • Develop during this stage is ordinarily marked by a coexistence of intimacy with a single friend of the same gender and sexual interest in many person of the opposite gender. SULLIVAN’S PRINCIPLES / CONCEPT • 6. LATE ADOLESECENCE (15 TO 18 YEARS) • It begins when a person is able to feel both intimacy and lust in the same person. • Late adolescence characterized by a stable pattern of sexual activity and the growth of the syntaxic mode, as young people learn how to live in the adult world. SULLIVAN’S PRINCIPLES / CONCEPT • 7. ADULTHOOD (18 onwards) • Late adolescence flows into adulthood, a time when a person develops a consistent pattern of viewing the world. SULLIVAN’S PRINCIPLES / CONCEPT • G. PSYCHOLOGICAL DISORDERS • Sullivan believe that all psychological disorder have an interpersonal origin and can be understood only with reference to the patient’s social environment. • Most of Sullivan’s early therapeutic work was with schizophrenic patients, and many of this subsequent lectures and writing dealt with schizophrenia. SULLIVAN’S PRINCIPLES / CONCEPT • Sullivan (1962) distinguished two broad classes of schizophrenia. The first included all those symptoms that originate from organic causes and are therefore beyond the study of interpersonal psychiatry. • The second class included all schizophrenic disorder grounded in situational factors. These disorder were the only ones of concern to Sullivan because they are only ones amenable to change through interpersonal psychiatry. SULLIVAN’S PSYCHOTERAPHY • Because he believed that psychiatric disorder grow out of interpersonal difficulties, Sullivan based his therapeutic procedures on an effort to improve a patient’s relationship with others. • To facilitate this process, the therapist serves as a participant observer, becoming part of an interpersonal, face-to-face relationship with the patients and providing the patient an opportunity to establish syntaxic communication with another human being. 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