Interpersonal psychoanalysis is based on the theories of Harry Stack Sullivan (1892–1949), an American psychiatrist, who believed that the details of a patient’s interpersonal interactions with others can provide insight into the causes and cures of mental disorder.
Selective inattention
Sullivan proposed that patients could keep certain aspects or components of their interpersonal relationships out of their awareness by a psychological behavior described as selective inattention. The term has to a degree passed into common usage: ‘”Selective inattention”.
Personifications
Sullivan emphasized that psychotherapists’ analyses should focus on patients’ relationships and personal interactions to obtain knowledge of affecting patterns and tendencies – personifications. Such analyses would consist of detailed questioning regarding moment-to-moment personal interactions, even including those with the analyst himself.
For Sullivan, ‘personifications embody one’s assumptions, schemata, internalised representations of others and reflected appraisals of the self’. They can form the basis for ‘the later ambiguities in interpersonal relations that Sullivan termed parataxic distortion…a very similar concept to the standard psychoanalytic transference/projection mechanisms’.
Sullivan and the neo-Freudians
‘Like the other neo-Freudians that Sullivan worked with, he rejects the orthodox Freudian drive model, although he retains a variant of the pleasure principle’. Sullivan’s interdisciplinary emphasis – linking him with ‘psychiatrists, psychologists, social workers, counsellors and clergy. Horney, Fromm, Thompson and Fromm-Reichman were all associates’ – was an important part of his enduring influence.
Criticism
The point has been made that Sullivan’s ‘need to separate himself from Freud was perhaps so great that he persistently invented new, often obtuse, terms for concepts already well expressed by Freud’.