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Ego States: Theory and Therapy

In English: Ego States: Theory and Therapy
John G. Watkins, Helen H. Watkins
Review by: Türkanə Əliyeva08 October 20261 min read
An academic book that presents ego-state theory and therapy systematically, resting on Freud, Jung, Federn and Weiss. Its strongest side is showing the sources of the theory openly, clinical examples and relating the notion of the «plurality» of personality to normal life. Its weak side is heavy terminology, long chapters and expecting knowledge of psychoanalysis.
Who Is This Book For?
Good Fit
  • Psychotherapists, psychologists and psychiatrists interested in hypnosis or the ego state approach
  • Readers who want to understand in theory the continuum between personality dissociation, multiple personality and normal «inner voices»
  • Those comparing psychoanalytic thinking with brief-therapy approaches
Not a Fit
  • Readers looking for a simple self-help book for everyday life: the language is technical and academic
  • Anyone expecting ego state therapy to be a proven standard treatment: the book's effectiveness data rest on the authors' own survey
  • Readers wary of controversial topics such as memory recovery under hypnosis and prenatal experience
How Readers Rate It
Readability 2.4/5 Heavy
Depth 3.9/5 Deep
Practical advice 2.9/5 Average
42 voters
Chapter 1 «Personality and its development»: the history of dissociation, energies and «subject–object»
Read: the beginning of chapter 1 — the sources of the theory (Janet, Jung, Freud, Federn, Weiss, Hilgard), «Energies and the function of personality», «Conscious–unconscious» and «Subject–object» (approx. pp. 19–35) — about 8% of the book.

The chapter begins by stating the authors' position plainly: many personality theories pile abstraction upon abstraction, offering no concrete case material or new ideas about treatment; ego-state theory was developed from the ideas of earlier thinkers and so must show its debt openly. John and Helen Watkins list the roots of the theory: Janet described dissociation before Freud and his «unconscious personality» concept closely resembles the ego state; Jung said «the complex does not belong to the person, the person belongs to the complex» and advanced the plurality of personality; Federn gave the concepts of psychic energy and ego cathexis.

The authors say that dissociation was long regarded as «abnormal» because it was studied only in hysteria and psychopathological patients, whereas most of their own material comes from normal problems (overweight, laziness, smoking addiction) and neurotic conditions. They mention Hilgard's «neo-dissociation» theory and the «hidden observer» phenomenon, and propose the term «influence» in place of «interference». Although ego-state therapy is an analytic method it differs from psychoanalysis at many points: they have combined Federn's ideas with Weiss's and changed the energy theory with clinical and experimental information.

The section «Energies and the function of personality» is built on two dualities. The first is «conscious–unconscious»: they ask what we mean by «being conscious of something». A person whose hand moves up and down after hypnosis is aware of the movement but does not say «I am doing this»; cases of sleepwalkers or of one of several personalities speaking while another is unaware show that consciousness is not single and that one or more segments of the personality may be conscious. There is a legal consequence too: at what point is an action conscious and when should a person be held responsible?

The second duality is «subject–object»: conscious–unconscious alone is not enough to describe human existence. The subject is experience «inside me, arising from my own essence», the object comes from outside. The same experience can be both: reading the sentence «the girl was running down the street» the image comes from the word (objective), the details (blonde, dark) from an inner stimulus (subjective). The authors explain it with dream examples: in a dream you see a man beating a child — you do not know either, you are not upset; if you pity the child, «affective identification» has begun; if the man looks like you, the object is still an object. The chapter is in dry academic style; useful to a systematic reader, heavy for a casual one.

Reading Experience
  • Each chapter explains the theoretical frame with clinical examples
  • The authors openly show their sources and their own differing positions
  • The concepts of personality, energy and dissociation are built step by step
  • The language is academic and loaded with terms
Content Warning
The book is intended for psychotherapy specialists and is not a self-help bookSome parts of the theory are not fully proven experimentallyThe topics of hypnosis and dissociation may be hard for sensitive readers
If You Liked This
The Haunted SelfOnno van der Hart, Ellert Nijenhuis, Kathy Steele

A contemporary clinical textbook on structural dissociation and trauma treatment

Internal Family Systems TherapyRichard C. Schwartz

A better-known modern approach that sees personality as made of «parts»

Dissociation and the Dissociative DisordersPaul F. Dell, John A. O'Neil

An academic collection on dissociation and its disorders

Spoiler
How does this part of the chapter end?
⚠️ The subject–object examples and the next step.

This part ends with dream examples: seeing in a dream a man beating a child is an object experience; pitying the child is «affective identification»; the child resembling oneself gives cognitive and visual similarity but the child is still an object. From here the authors lay the ground for reasoning about energy and ego, and the boundaries of self and object, which leads to the definition of the ego state.

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