Pathways to the Clinician’s Experience of Empathy in Engaging Single Mothers at Risk for Physical Abuse of their Children

Based upon an analysis of interviews from a qualitative study with twelve agency-based clinical social workers, this paper recounts three “situational pathways” through which these workers were able to experience empathy in the process of engaging low-income single mothers whose presenting picture involved physical aggression toward their symptomatic children who the workers were also seeing for therapy. The paper describes and utilizes self-psychological and intersubjective concepts to understand the therapeutic contexts that may enhance the worker’s potential for experientially understanding the client’s viewpoint. The relevance of the findings for practice and training is discussed.

Karen Horney and Psychotherapy in the 21st Century

Many ideas currently circulating in the psychological and psychoanalytic communities have correspondence with the theories put forth by Karen Horney during the first half of the twentieth century. This paper provides an overview of Horney’s theoretical departures from Freud and an introduction to her then controversial views of motivation and relationship. Compatibility between Horney’s ideas and attachment theory, self-psychology, intersubjectivity, and the person in the environment is discussed. Two clinical cases are presented, illustrating Horney’s theory and approach. An earlier version of this paper was presented at the 2004 National Meeting of the Committee on Psychoanalysis of the Federation of Societies for Clinical Social Work in New York.