Gerhard Stemberger

The paper presents basic Gestalt psychological concepts of ego and self. They differ from other concepts in the way that they do not comprehend ego and self as fixed entities or as central controlling instances of the psyche, but as one specific organized unit in a psychological field in dynamic interrelation with the other organized units—the environment units—of this field. On this theme, well-known representatives of Gestalt theory have presented some general and special theories since the early days of this approach that could partly be substantiated experimentally. They illuminate the relationship between ego and world in everyday life as well as in the case of mental disorders. Not only the spatial extension of the phenomenal ego is subject to situational changes, but also its place in the world, its functional fitting in this world, its internal differentiation, its permeability to the environment, and much more. The German Gestalt psychologist Wolfgang Metzger emphasizes the significant functional role that this dynamic plasticity of the phenomenal world and its continuously changing segregation of ego and environment have for human life by designating the phenomenal world as a “Central Steering Mechanism.” In this article, ego and self as part of this field in their interrelation with the total psychological field will be illuminated from the perspective of the thinking of the Gestalt psychologists Max Wertheimer, Kurt Koffka, Wolfgang Köhler, Kurt Lewin, Wolfgang Metzger, Mary Henle, Edwin Rausch, and Giuseppe Galli.

Summary The article substantiates the possibility and meaningfulness of a coherent theoretical system for psychotherapy, as it is strived for in Gestalt Theoretical Psychotherapy and presented in several articles in this issue of the journal "Gestalt Theory". The necessity of consistency in the theoretical assumptions and concepts of a psychotherapy method is not derived from scientific considerations alone, but already arises from the elementary role of consistency in human life. This also results in the requirements for the consistency of theoretical foundations of psychotherapy. It is not fulfilled in a mere internal, logical consistency of its models, but only in the actual fitting together with the critical-phenomenal and naive-phenomenal worlds of the therapists and their clients in the reality test of life.

There is a widespread belief in the academic world—above all in the United States and in the scientific communities around the world accepting U.S. mainstream science as their standard —that »schools« have lost their grounds and their legitimacy in psychology and other sciences.»Schools of thought« are seen as hampering freedom of thought and research, progress in science would have a better chance when free of such affiliations, and »objectivity« in science is seen to be best granted by some sort of disinterested eclecticism.If you agree with such a premise, it is clear that it would not make much sense to run an international scientific society like the GTA, which explicitly feels committed to such a »school«. I am not the first one to object to such a view, more meritorious people have done so before me.

Summary In 1915 the Danish psychologist Edgar Rubin describes in his famous work on figure-ground perception, the phenomenon that when you look attentively at a picture, a second, virtual ego arises, breaking away from the viewer-ego to wander around in the picture along the contours of the depicted. In 1982, German Gestalt psychologist Edwin Rausch expanded this observation of the emergence of a second phenomenal ego to the conclusion that not only does a second phenomenal ego emerge, but with it a second phenomenal total field, ie a second phenomenal world with its own phenomenal ego and an own phenomenal environment of this ego. Several years ago, I proposed a multi-field-approach in psychotherapy building on this research. This approach involves three levels: First, the level of phenomenological observation and psychological analysis of the conditions that determine the formation of such a second total field (and even further total fields), regardless of whether this occurs spontaneously or intentionally or as a result of external influences. Second, the level of explanation of various psychic processes, which in the field of psychotherapy have been explained so far mainly on the basis of depth psychology, and the conceptualization of the therapeutic situation and therapeutic processes from a Gestalt psychological perspective. Third, finally, the level of practical application of such insights on the development of appropriate procedures and interventions that can promote or defer the emergence of such second or multiple fields in psychotherapy. The present article introduces the multi-field approach, especially at the first level, and refers to research and discussion on mind wandering, imagining, daydreaming and dissociation.

Summary Giancarlo Trombini presents the continuation of his research on the question of which criteria can be used to assess the progress of therapy in an objectively verifiable way and to make the decision on the completion of therapy. In the first phase of his research, the phenomenological criterion of a qualitative change in the patient’s relations toward the positive and higher complexity was proposed for this purpose. In terms of the working method in analytic therapy, this meant concretely: attention should be paid to what development is shown in the comparison of the relationships that occur in the dream narrative and in the subsequent associations. This criterion was therefore given the name manifest dream/association comparison (MDAC)—comparison between the manifest dream and the subsequent associations. The idea can easily be transferred to those therapy methods, which do not primarily work with reports of dream memories and subsequent associations—also, in other ways of working, it is possible to pay attention, in the way suggested by Trombini, to the qualitative development of the relationships which are thematized by the clients in the course of an hour. To this first criterion, another phenomenological criterion is now added in the present article: that of the “concluding therapeutic turn” (CTT). If the patient’s development reaches this turn in the course of the therapy in one session, this indicates, according to Trombini, that the therapy can soon be concluded. The fulfillment of this criterion can be recognized by the fact that in the sequence of dream narration and subsequent associations in a session, a relational dynamic toward the positive and higher complexity becomes recognizable and that is, at the same time, connected with a reconciliation of the three temporal reference systems (past, present, and future). The achievement of this CTT indicates that the patient is aware of the changes made in therapy and makes it evident to the therapist that the therapy is nearing completion.

The article outlines the Multiple-Field-Approach ("Mehr-Felder-Ansatz") in Gestalt Theoretical Psychotherapy and in psychotherapy in general. This Gestalt theory based approach deals 1) with the conditions under which a secondary phenomenal field (containing a secondary phenomenal ego and a secondary phenomenal environment) segregates within the primary phenomenal field, 2) with the dynamic field interaction between primary and secondary field and their role in psychotherapy, 3) with psychotherapeutic techniques favouring the segregation and favouring the dissolution of a secondary field . Some of these phenomena have been discussed as mind-wandering, daydreaming, or - in a pathological context - as dissociation. But it seems that the Gestalt psychological approach presented in this paper has to offer a more promising framework for these phenomena and their dynamics.

Crises in therapist-patient relationship can also become a challenge in clinical supervision. However, success and failure in establishing and maintaining constructive relationships in therapy and supervision is not only subject to a lucky fit of personal characteristics (therapist A gets along well/badly with client B; supervisee A gets along well/badly with supervisor C). Rather, we can identify determining field conditions in the overall therapeutic and supervisory situation for this outcome. We do not only focus on the persons involved, but also on their environment, the task to be accomplished together, further framework conditions and the power relations resulting from their mutual influence-in the supervised case of therapy as well as in supervision itself. We want to examine the structure and dynamics of these relationships from a genuine Gestalt psychological perspective. What contributes to a cooperative atmosphere? When do goals get out of sight? What can make the atmosphere hostile? How do such developments become accessible in supervision?

The "Essentials of Gestalt Theoretical Psychotherapy" offer for the first time in English an insight into the guiding ideas of this integrative psychotherapy method, which is consistently anchored in Gestalt psychology (and in this respect also differs substantially from most streams of Gestalt therapy, with which it should not be confused). The anthology includes ten contributions by authors from Austria, Italy, Germany and the USA. These deal with fundamental questions and concepts of any psychotherapy: The role and meaning of consistency in practical life and in psychotherapy; the question of human epistemic possibilities and an epistemology appropriate for psychotherapy; the personality theory of Gestalt Theoretical Psychotherapy; the basic principles of therapeutic relationship and practice; the role of emotions in the example of phenomenal causality of feelings; the task of diagnostics in Gestalt Theoretical Psychotherapy; a clinical example related to anorexia; Gestalt psychological viewpoints for therapy progress; the role of relational determination in intrapsychic and interpersonal experience.

Summary In 1915 the Danish psychologist Edgar Rubin describes in his famous work on figure-ground perception, the phenomenon that when you look attentively at a picture, a second, virtual ego arises, breaking away from the viewer-ego to wander around in the picture along the contours of the depicted. In 1982, German Gestalt psychologist Edwin Rausch expanded this observation of the emergence of a second phenomenal ego to the conclusion that not only does a second phenomenal ego emerge, but with it a second phenomenal total field, ie a second phenomenal world with its own phenomenal ego and an own phenomenal environment of this ego. Several years ago, I proposed a multi-field-approach in psychotherapy building on this research. This approach involves three levels: First, the level of phenomenological observation and psychological analysis of the conditions that determine the formation of such a second total field (and even further total fields), regardless of whether this occurs spontaneously or intentionally or as a result of external influences. Second, the level of explanation of various psychic processes, which in the field of psychotherapy have been explained so far mainly on the basis of depth psychology, and the conceptualization of the therapeutic situation and therapeutic processes from a Gestalt psychological perspective. Third, finally, the level of practical application of such insights on the development of appropriate procedures and interventions that can promote or defer the emergence of such second or multiple fields in psychotherapy. The present article introduces the multi-field approach, especially at the first level, and refers to research and discussion on mind wandering, imagining, daydreaming and dissociation.

Summary The present work focuses on the transformations of the psychotherapeutic field through the relationship dynamics which occur within it. The first part of this article starts with a brief outline of the Gestalt psychological understanding of the field concept, also in its application to the psychotherapeutic situation, followed by a brief review of the introduction of the field concept into the psychoanalytic theory formation. After this, the first author first presents the theoretical concept underlying a new approach he has developed for observing the relationship dynamics in psychotherapy. Mirroring a formation of both psychoanalytic and Gestalt theory of the main author, this new approach is based on the combination of psychoanalytic and Gestalt psychological concepts. According to the clinical experience and insights of the author, the phenomenological and relational approach of Gestalt theory fits well with the psychoanalytic approach; on this basis, a criterion for recording the progress of therapy can be developed. This criterion is the phenomenology of the development of the qualities of the relationships of the client, as they become visible in his dream narrations and the subsequent associations in the analysis room and continue to develop during the session and the further course of therapy. The relationship dynamics in the dream narration is thus compared with those which develop in the course of the subsequent associations. This is demonstrated and further elaborated in the second part of this article on the basis of a clinical case. The clinical example shows how the relationship dynamics develop in this sense in the individual therapy sessions and over a longer course of therapy. The associated transformations of the therapeutic field give a good indication of the progress of therapy. The main author gained such insights into the transformations of the therapeutic field and the progression of therapy, which are visible in the course of therapy, from the careful application of the criterion “MDAC of relational dynamics”. In the specific case, there was also a high degree of correspondence between the results of the application of this phenomenological criterion and the empirical evidence of the symptom questionnaire, a self-report measure requested by the patient himself during the course of the therapy.

Info in English (book is in German): The book "Schöpferische Freiheit" ("Creative Freedom") is considered the third major work of Gestalt psychologist Wolfgang Metzger (1899-1979) - along with his "Psychology" and the "Laws of Seeing". According to Michael Stadler and Wolfgang Crabus, Metzger's real achievement in the further development of Gestalt theory is expressed in this book: "Metzger develops here, on the basis of Köhler's natural philosophical ideas of 'physical Gestalten' (1920) and incorporating the teachings of Zen Buddhism ... a theory of education for creative thought and action. ... This book perhaps most clearly expresses the ethic of free self-determination of human thought and action inherent in Gestalt theory." "Creative Freedom" has lost none of its relevance since its last edition in 1962. It can be considered a foundational work of a Gestalt theory of the living. Jürgen Kriz writes in his preface to the now new edition: "It is extremely gratifying that this central work not only of Gestalt psychology, but (at least from my point of view) also of humanistic psychology and psychotherapy is being reissued. It is currently available only in (all too few) libraries and single antiquarian copies. Yet the central messages and insights of Wolfgang Metzger's 'Creative Freedom' are more relevant than ever: as a necessary warning against the aberrations of an increasing functionalization, medicalization, and progress-believing optimization (for whatever purposes) of the human being in our time." The new edition is accompanied by comments on the topicality and relevance of the work for education and teaching (Marianne Soff) as well as for psychotherapy (Gerhard Stemberger). Buchinformation: Die „Schöpferische Freiheit“ gilt als das dritte Hauptwerk des Gestaltpsychologen Wolfgang Metzger (1899-1979) – neben seiner „Psychologie“ und den „Gesetzen des Sehens“. Nach Michael Stadler und Wolfgang Crabus kommt in diesem Buch Metzgers eigentliche Leistung der Weiterentwicklung der Gestalttheorie zum Ausdruck: „Metzger entwickelt hier auf der Grundlage von Köhlers naturphilosophischen Ideen der ‚physischen Gestalten‘ (1920) und unter Einbeziehung der Lehren des Zen-Buddhismus … eine Theorie der Erziehung zum schöpferischen Denken und Handeln. … Dieses Buch drückt vielleicht am deutlichsten die der Gestalttheorie inhärente Ethik der freien Selbstbestimmung menschlichen Denkens und Handelns aus.“

Summary The present work focuses on the transformations of the psychotherapeutic field through the relationship dynamics that occur within it. The first part of this article starts with a brief outline of the Gestalt psychological understanding of the field concept, also in its application to the psychotherapeutic situation, followed by a brief review of the introduction of the field concept into the psychoanalytic theory formation. After this, the first author first presents the theoretical concept underlying a new approach he has developed for observing the relationship dynamics in psychotherapy. Mirroring a formation both psychoanalytic and gestaltic of the main author, this new approach is based on the combination of psychoanalytic and Gestalt psychological concepts. According to the clinical experience and insights of the author, the phenomenological and relational approach of Gestalt theory fits well with the psychoanalytic approach; on this basis, a criterion for recording the progress of therapy can be developed. This criterion is the phenomenology of the development of the qualities of the relationships of the client, as they become visible in his dream narrations and the subsequent associations in the analysis room, and continue to develop during the session and the further course of therapy. The relationship dynamics in the dream narration is thus compared with those that develop in the course of the subsequent associations. This is demonstrated and further elaborated in the second part of this paper on the basis of a clinical case. The clinical example shows how the relationship dynamics develop in this sense in the individual therapy sessions and over a longer course of therapy. The associated transformations of the therapeutic field give a good indication of the progress of therapy. The main author gained such insights into the transformations of the therapeutic field and the progression of therapy, which are visible in the course of therapy, from the careful application of the criterion “manifest dream/associations comparison of relational dynamics”. In the specific case, there was also a high degree of correspondence between the results of the application of this phenomenological criterion and the empirical evidence of the symptom questionnaire, a self-report measure requested by the patient himself during the course of the therapy.

Giuseppe Gallis konsequentes Streben nach einer angemessenen Berücksichtigung beider Pole, des Subjektpols ebenso wie des Objektpols, sowohl in der Forschung als auch in allen Bereichen des menschlichen Lebens kommt im vorliegenden Sammelband in allen Arbeiten zum Tragen. Galli eröffnet damit auch neue Felder f8r die gestalttheoretische Forschungs- und Anwendungspraxis. Er erschließt Themen, die nicht zuletzt auch f8r die medizinischen, philosophischen, psychologischen und psychotherapeutischen Aufgabenstellungen zentral sind. Er plädiert nicht nur allgemein für einen dialogischen Ansatz in der zwischenmenschlichen Begegnung, er führt in einer Reihe von Aufsätzen in diesem Sammelband auch sehr konkret die Fruchtbarkeit eines solchen Dialogs mit der Gedankenwelt eines Norbert Elias, Szvetan Todorovic und Paul Ricoeur für eine Bereicherung und Weiterentwicklung der Gestalttheorie vor Augen.

Mind-wandering is often seen as the result of a certain attention behavior or even an attention deficit. However, Gestalt psychological research points to other explanations: The phenomena referred to as “mind-wandering” can be understood as a reorganization of the total phenomenal field of perception and experience as a result of experiencing serious discrepancies in this field (“non-Prägnanz” or “Imprägnanzen” in Gestalt psychological terminology). If the “non-Prägnanz” in the field is strong enough, the related facts and events are experienced as not being compatible in a single common field. As a consequence, the field of perception and experience is split into two or more fields, each comprising its own phenomenal ego with its own phenomenal world. This approach allows the identification of certain rules for the occurrence of these phenomena and an informed handling of them. The paper introduces this Gestalt psychological multiple-field approach and discusses its conditions, implications, and potential applications. Examples from Gestalt theoretical psychotherapy, in the context of which this approach was developed in a differentiated way, and from other areas of application, serve as illustrations.

The Diagnostic Understanding of Gestalt Theoretical Psychotherapy: In accordance with the basic thoughts of the Guideline, Gestalt Theoretical Psychotherapy acts on the conviction that diagnostic revelations and therapeutic change processes are inseparable. Even if each of them is related to different functions and thus to particular demands, an efficient patient support requires the professional and proper interplay of discovery and change processes throughout her therapy. Each new discovery is per se related to a change and may set off a series of further changes, which may again trigger off new discoveries. As widely known, this may also happen when this whole process and this cause-and-effect-relation are neither intended, nor planned, nor insightfully administered or understood. The authors of the Guideline are, therefore, right to not only ascertain the fact that discovering and changing in psychotherapy are joint and intertwining processes, but also to postulate that the psychotherapist has to work on this intertwining process consciously and deliberately, guided by and in accordance with her particular scientific-methodological approach. Even in the diagnostic strand of psychotherapeutic work, Gestalt Theoretical psychotherapists let themselves be guided by the “characteristics of working at the living”, as they were elaborated by Wolfgang Metzger (1962) and transferred to psychotherapeutic applications by Hans-Jürgen P. Walter (1977) and his colleagues. Simultaneously, essential anthropological, epistemological and ethical home positions of Gestalt theory are concisely expressed therein. I am going to mention them briefly, reformulating them in reference to the diagnostic remit. By doing so, the accordance with the major viewpoints of the Guideline in the description of diagnostic processes in psychotherapy should become apparent.

Die vor allem unter der Bezeichnung Gestalt-Psychologie bekanntgewordeneGestalttheorie der Berliner Schule war lange Zeit vielen zu Unrecht nur für ihreBeiträge zur Wahrnehmungspsychologie ein Begriff. In letzter Zeit werden jedochdiesseits und jenseits des Atlantiks zunehmend die frühen gestalttheoretischenAnsätze für eine psychotherapierelevante Lehre des gesunden und gestörtenmenschlichen Erlebens und Verhaltens wiederentdeckt und neu aufgegriffen. Dervorliegende Sammelband stellt drei exemplarische frühe Beiträge zurPsychopathologie vor, die noch vom Begründer der Gestalttheorie MaxWertheimer geprägt wurden. Anhand der Analyse der paranoischenEigenbeziehung und Wahnbildung, der Manie und der schizophrenen Denkstörungdemonstrieren sie eindrucksvoll die spezifische Herangehensweise undFruchtbarkeit des ganzheitlichen systemtheoretischen Ansatzes der Gestalttheorieauf dem Gebiet psychischer Störungen. Im Anschluß diskutierenPsychotherapeuten und Psychiater aus Deutschland, Österreich und den USA dieAktualität und Relevanz dieser Ansätze für die psychotherapeutischeKrankheitslehre und Praxis.