Abstract
Clinicians have lacked a coherent approach to emptiness, which is both a pervasive metaphor for loss, deficiency, or alienation and a frequently cited spiritual goal. We suggest a framework for approaching emptiness that distinguishes among its subjective, objective, and existential dimensions. Clinicians can use psychodynamic and cognitive behavioral approaches to clarify schemas that distort patients’ perceptions of others and of themselves, behavioral and relational approaches to help them deal with real deficiency and loss, and spiritually oriented approaches to put these into a larger context.
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References
Abernathy, J. D., & Lancia, J. J. (1998). Religion and the psychotherapeutic relationship: Transferential and countertransferential dimensions. Journal of Psychotherapy Practice and Research, 7, 281–289.
Adler, G. (1986). Psychotherapy of the narcissistic personality disorder patient: Two contrasting approaches. The American Journal of Psychiatry, 143, 430–436.
Beck, A. T. (1979). Cognitive therapy for depression. New York: Guilford Press.
Benner, D. G. (2005). Intensive soul care: Integrating psychotherapy and spiritual direction. In L. Sperry & E. P. Shafranske (Eds.), Spiritually oriented psychotherapy (pp. 287–306). Washington, DC: American Psychological Association.
Breitbart, W. (2002). Spirituality and meaning in supportive care: spirituality- and meaning-centered group psychotherapy interventions in advanced cancer. Supportive Care in Cancer, 10(4), 272–280.
Cobb, J. (1977). Buddhist emptiness and the Christian god. Journal of the American Academy of Religion, XLV, 11–25.
Coltart, N. (1996). The baby and the bathwater. London: Karnac Books.
Cushman, P. (1990). Why the self is empty: Toward a historically situated psychology. American Psychologist, 45, 599–611.
Griffith, J. L., & Gaby, L. (2005). Brief psychotherapy at the bedside: countering demoralization from medical illness. Psychosomatics, 46, 109–116.
Haase, A. (2008). Coming home to your true self: Leaving the emptiness of false attractions. Downers Grove, IL: InterVarsity Press.
Hazell, C. G. (1984). A scale for measuring experienced levels of emptiness and existential concern. The Journal of Psychology, 117, 177–182.
Herman, J. (1977). Trauma and recovery. New York: Basic Books.
Horowitz, M. J. (Ed.). (1991). Personal schemas and maladaptive interpersonal patterns. Chicago: University of Chicago Press.
Jennings, P. (2007). East of ego: The intersection of narcissistic personality and Buddhist practice. Journal of Religion and Health, 46(1), 3–18.
Kernberg, O. (1975). Borderline conditions and pathological narcissism. New York: Jason Aronson.
Kohut, H. (1971). The analysis of the self. New York: International Universities Press.
Lafarge, L. (1989). Emptiness as a defense in severe regressive states. Journal of the American Psychoanalytic Association, 37, 965–995.
Lewis, C. S. (1961). A grief observed. London: Faber & Faber.
Mitchell, D. W. (1991). Spirituality and emptiness: The dynamics of spiritual life in Buddhism and Christianity. New York/Mahwah, NJ: Paulist Press.
Parkes, C. P. (2001). Bereavement: studies of grief in adult life. Philadelphia, PA: Taylor and Francis, Inc.,
Peteet, J. R. (1994). Approaching spiritual issues in psychotherapy: a conceptual framework. Journal of psychotherapy practice and research, 3, 237–245.
Platt, D. (2010). Radical. Taking Back Your Faith from the American Dream. Colorado Springs, CO: Multnomah Books.
Robins, C. J. (2002). Zen principles and mindfulness practice in dialectical behavior therapy. Cognitive and Behavioral Practice, 9, 50–57.
Sartre, J. P. (1956). Being and nothingness. New York: Philosophical Library.
Singer, M. (1977). The Experience of Emptiness in Narcissistic and Borderline States: II. The Struggle for a Sense of Self and the Potential for Suicide. International Review of Psycho-Analysis, 4, 471–479.
Sperry, L., & Shafranske, E. P. (Eds.). (2005). Spiritually oriented psychotherapy (pp. 287–306). Washington, DC: American Psychological Association.
Tan, S.-Y. (2003). Integrating spiritual direction into psychotherapy: ethical issues and guidelines. Journal of Psychology and Theology, 31(1), 14–23.
Trull, T. J., Sher, K. J., Minks-Brown, C., Durbin, J. M., & Burr, R. (2000). Borderline personality disorder and substance use disorders: A review and integration. Clinical Psychology Review, 20, 235–253.
Watson, G. (1998). The resonance of emptiness: A Buddhist inspiration for a contemporary psychotherapy. Surrey, UK: Curzon Press.
Westen, D., Moses, M. J., Silk, K. R., Lohr, N. E., Cohen, R., & Segal, H. (1992). Quality of depressive experience in borderline personality disorder and major depression: When depression is not just depression. J Personality Disorders, 6, 382–393.
Yalom, I. (1980). Existential psychotherapy. New York: Basic Books.
Yusuf, I. (2009). Dialogue between islam and buddhism through the concepts Ummatan Wasatan (The Middle Nation) and Majjhima-Patipada (The Middle Way). Islamic Studies, 48, 367–394.
Zondag, H. (2005). Between imposing one’s will and protecting oneself: narcissism and the meaning of life among Dutch pastors. Journal of Religion and Health, 44(4), 413–426.
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Peteet, J.R. Approaching Emptiness: Subjective, Objective and Existential Dimensions. J Relig Health 50, 558–563 (2011). https://doi.org/10.1007/s10943-010-9443-7
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DOI: https://doi.org/10.1007/s10943-010-9443-7