This paper offers a nuanced discourse on the otherwise ignored topic of humility. It brings together scattered comments within psychoanalysis, secular lay-literature, sociocultural studies, and religious thought on humility. The paper also describes pathological variants of humility (excessive, deficient, false, and compartmentalized) and delineates five areas of clinical practice where humility plays an important role: (i) humility in selecting patients to treat, (ii) humility in daily conduct with patients, (iii) humility in the attitude of listening to clinical material, (iv) humility in the manner of intervening, and (v) humility in deciding upon the longevity of our professional careers.
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Akhtar, S. (1989). Narcissistic personality disorder. Psychiatric Clinics of North America, 12, 505–529.
Akhtar, S. (1999). Immigration and identity: Turmoil, treatment, and transformation. Northvale, NJ: Jason Aronson.
Akhtar, S. (2000). The shy narcissist. In J. Sandler, R. Michels, & P. Fonagy (Eds.), Changing ideas in a changing world: The revolution in psychoanalysis. Essays in honour of Arnold Cooper (pp. 111–119). London: Karnac.
Akhtar, S. (2003). Things: developmental, psychopathological, and technical aspects of inanimate objects. Canadian Journal of Psychoanalysis, 11, 1–44.
Akhtar, S. (2006). Experiencing oneness: Pathological pursuit or normal necessity? In S. Akhtar (Ed.), Interpersonal boundaries: Variations and violations (pp. 87–97). Lanham, MD: Jason Aronson.
Akhtar, S. (2010a). Happiness: Origins, forms, and technical relevance. American Journal of Psychoanalysis, 70, 219–244.
Akhtar, S. (Ed.). (2010b). The wound of mortality: Fear, denial, acceptance of death. Lanham, MD: Jason Aronson.
Akhtar, S. (2011). Immigration and acculturation: Mourning, adaptation, and the next generation. Lanham, MD: Jason Aronson.
Akhtar, S. (2012). Good stuff: Generosity, resilience, humility, gratitude, forgiveness, and sacrifice. Lanham, MD: Jason Aronson.
Akhtar, S. (2013a). Psychoanalysis and culture: Freud, Erikson, and beyond. In A. Gerlach, M.-T. S. Hooke, & S. Varvin (Eds.), Psychoanalysis in Asia: China, India, Japan, South Korea, and Taiwan (pp. 19–42). London: Karnac.
Akhtar, S. (2013b). Psychoanalytic listening: Methods, limits, and innovations. London: Karnac.
Akhtar, S. (2014). Meanings, manifestations, and management of greed. In S. Akhtar (Ed.), Sources of suffering: Fear, greed, guilt, deception, betrayal, and revenge (pp. 131–158). London: Karnac.
Akhtar, S. (2015). Some psychoanalytic reflections on the concept of dignity. American Journal of Psychoanalysis, 75, 244–266.
Akhtar, S. & Varma, A. (2012). Sacrifice: Psychodynamic, cultural and clinical aspects. American Journal of Psychoanalysis, 72, 95–117.
Bach, S. (1977). On narcissistic state of consciousness. International Journal of Psychoanalysis, 58, 209–233.
Bhagavad Gita (circa 500 BC) (M. N. Dutt, Trans.). Delhi: Parimal Publishers (1994).
Bion, W. R. (1965). Transformations. London: Karnac Books.
Bion, W. R. (1967). Second thoughts. London, UK: Butterworth-Heinemann.
Bion, W. R. (1970). Attention and interpretation. London: Karnac.
Bollas, C. (1992). Being a character: Psychoanalysis and self-experience. New York: Hill and Wang.
Bollas, C. (2009). The evocative object world. London: Routledge.
Brenner, C. (1976). Psychoanalytic technique and psychic conflict. New York: International Universities Press.
Brottman, M. (2011). Phantoms of the clinic: From thought-transference to projective identification. London: Karnac.
Cai, H., Sedikides, C., Gaertner, L., Wang, C., Carvallos, M., Xu, Y., O'Mara, E. M., Jackson, L. E. (2011). Tactical self-enhancement in China: is modesty at the service of self-enhancement in East Asian cultures? Social Psychological and Personality Science, 2, 59–64.
Chen, E. M. (1989). The Te Tao Ching: A new translation with commentary. New York: Paragon House.
Clark, L. P. (1932). Can child analysis prevent neuroses and psychoses in later life? Psychoanalytic Review, 19, 46–55.
Coltart, N. (1985). The practice of psychoanalysis and Buddhism. In N. Coltar (Ed.), Slouching towards Bethlehem…and further psychoanalytic explorations (pp. 164–175). New York: Other Press.
Ehrenberg, D. B. (1995). Self-disclosure: Therapeutic tool or indulgence? Countertransference disclosure. Contemporary Psychoanalysis, 31, 213–228.
Epstein, M. (1995). Thoughts without a thinker—Buddhism and psychoanalysis. Psychoanalytic Review, 82, 391–406.
Erikson, E. (1950). Childhood and society. New York: W. W. Norton.
Feldman, A. B. (1953). The confessions of William Shakespeare. American Imago, 10, 113–166.
Fenichel, O. (1945). The psychoanalytic theory of neurosis. New York: W. W. Norton.
Frank, A. W. (2004). The renewal of generosity: Illness, medicine, and how to live. Chicago: University of Chicago Press.
Freud, S. (1893). On the psychical mechanism of hysterical phenomena. Standard Edition, 3, 25–41.
Freud, S. (1897). Extracts from the Fleiss papers: Letter 57. Standard edition (Vol. 1, pp. 242–244). London: Hogarth
Freud, S. (1910). Leonardo da Vinci and a memory of his childhood. Standard edition (Vol. 11, pp. 63–138). London: Hogarth.
Freud, S. (1912). Recommendations to physicians practicing psycho-analysis. Standard edition (Vol. 12, pp. 109–120). London: Hogarth.
Freud, S. (1915). The unconscious. Standard edition (Vol. 14, pp. 159–216). London: Hogarth.
Freud, S. (1920). The psychogenesis of a case of homosexuality in a woman. Standard edition (Vol. 18, pp. 145–174). London: Hogarth.
Freud, S. (1921). Group psychology and the analysis of the ego. Standard edition, (Vol. 18, pp. 65–143). London: Hogarth.
Freud, S. (1923). The ego and the id. Standard edition (Vol. 19, pp. 1–66). London: Hogarth.
Freud, S. (1924). The dissolution of the Oedipus complex. Standard edition (Vol. 19, pp. 171–188). London: Hogarth.
Freud, S. (1927). The future of illusion. Standard edition (Vol. 21, pp. 3–26). London: Hogarth.
Freud, S. & Breuer, J. (1895). Studies on hysteria: Case 2—Frau Emmy Von N. Standard edition (Vol. 2, pp. 48–105). London: Hogarth.
Furnham, A., Hosoe, T. & Tang, T. L.-P. (2001). Male hubris and female humility? A cross- cultural study of ratings of self, parental and sibling multiple intelligence in America, Britain and Japan. Intelligence, 30, 101–115.
Gandhi, M. K. (1940). An autobiography: The story of my experiments with truth (M. H. Desai, Trans.). Boston, MA: Beacon Press.
Ghent, E. (1990). Masochism, submission, surrender—Masochism as a perversion of surrender. Contemporary Psychoanalysis, 26, 108–135.
Goldberg, A. I. (1987). The place of apology in psychoanalysis and psychotherapy. International Review of Psychoanalysis, 14, 409–422.
Green, A. (1986). Responses à des questions inconcevables. Topique, 37, 11–30.
Greenacre, P. (1956). Experience of awe in childhood. Psychoanalytic Study of the Child, 11, 9–30.
Griffith, J. L. (2010). Religion that heals, religion that harms. New York: Guilford Press.
Guttman, S. A., Jones, R. L. & Parrish, S. M. (Eds.). (1980). The concordance to the standard edition of the complete psychological works of Sigmund Freud. Boston, MA: G.K. Hall.
Heine, S. J., Lehman, D. R., Markus, H. R. & Kitayama, S. (1999). Is there a universal need for positive self-regard? Psychological Review, 106, 766–779.
Hoffer, A. (Ed.). (2015). Freud and the Buddha: The couch and the cushion. London: Karnac.
Hofstede, G. (2001). Culture’s consequences: International differences in work-related values (2nd ed.). London: Sage Publications.
Kajonius, P. J. & Dåderman, A. M. (2014). Exploring the relationship between honesty-humility, the big five, and liberal values in Swedish students. Europe’s Journal of Psychology, 10, 104–117.
Kapoor, P. (2017). Gandhi: An illustrated biography. New York: Black Dog and Leventhal Publishers.
Kareem, J. (1992). The Nafsiyat Intercultural Therapy Centre: ideas and experience in intercultural therapy. In J. Kareem & R. Littlewood (Eds.), Intercultural therapy: themes, interpretations, and practice (pp. 14–37). London: Blackwell Scientific Publications.
Kernberg, O. F. (1980). Severe personality disorders: Psychotherapeutic strategies. New Haven, CT: Yale University Press.
Killingmo, B. (1989). Conflict and deficit: implications for technique. International Journal of Psycho-Analysis, 70, 65–79.
Kim, Y. H. & Cohen, D. (2010). Information, perspective, and judgements about the self in ‘face’ and ‘dignity’ cultures. Personality and Social Psychology Bulletin, 36, 537–550.
Kirman, J. H. (1998). One-person or two-person psychology? Modern Psychoanalysis, 23, 3–22.
Klein, M. (1940). Mourning and its relation to manic depressive states. In M. Klein (Ed.), Love, guilt and reparation and other works—1921–1945 (pp. 344–369). New York, NY: Free Press.
Lee, H. I., Leung, A. K.-Y. & Kim, Y.-H. (2014). Unpacking East-West differences in the extent of self-enhancement from the perspective of face versus dignity culture. Social and Personality Psychology Compass, 8, 314–327.
Levine, S. (2006). Catching the wrong leopard: courage and masochism in the psychoanalytic situation. Psychoanalytic Quarterly, 75, 533–556.
Lewis, C. S. (1942). The screwtape letters. New York: HarperCollins.
Marcovitz, E. (1966). Dignity. In M. S. Temeles (Ed.), Bemoaning the dream: Collected papers of Eli Marcovitz, M.D. (pp. 120–130). Philadelphia, PA: Philadelphia Association of Psychoanalysis.
Marcus, P. (2013). On the quiet virtue of humility. In In search of the spiritual: Gabriel Marcel, psychoanalysis, and the sacred (pp. 89–110). London: Karnac.
Menninger, W. C. (1943). Characterologic and symptomatic expressions related to the anal phase of psychosexual development. Psychoanalytic Quarterly, 12, 161–193.
Mish, F. (Ed.). (1993). Merriam-Webster's collegiate dictionary. Springfield, MA: Merriam-Webster Press.
Mish, F. C. (Ed.). (1998). Merriam Webster’s collegiate dictionary (10th ed.). Springfield, MA: Merriam Webster Press.
Moore, M. (2009). Wa: harmony and sustenance of the self in Japanese life. In S. Akhtar (Ed.), Freud and the far east: Psychoanalytic perspectives on the people and culture of China, Japan, and Korea (pp. 79–88). Lanham, MD: Jason Aronson.
Ostow, M. (2000). Three archaic contributions to the religious instinct: Awe, mysticism, and apocalypse. In S. Akhtar & H. Parens (Eds.), Does God help: Developmental and clinical aspects of religious belief (pp. 197–233). Northvale, NJ: Jason Aronson.
Pine, F. (1988). The four psychologies of psychoanalysis and their place in clinical work. Journal of the American Psychoanalytic Association, 36, 571–596.
Quran (A. Ali, Trans.). Beirut: Dar al Arabia Publishing (2001).
Rappaport, D. (1960). The structure of psychoanalytic theory. Psychological Issues, 6, 39–72.
Richards, A. (2003). Psychoanalytic discourse at the turn of our century: A plea for a measure of humility. Journal of the American Psychoanalytic Association, 51S (Supplement), 73–89.
Roland, A. (1988). In search of self in India and Japan: Toward a cross-cultural psychology. Princeton, NJ: Princeton University Press.
Roland, A. (1996). Cultural pluralism and psychoanalysis: The Asian and North-American experience. New York: Routledge.
Rubin, J. (2005). Psychoanalytic and Buddhist history and theory. In S. Akhtar (Ed.), Freud along the Ganges: Psychoanalytic reflections on the people and culture of India (pp. 335–354). New York: Other Press.
Sacks, J. (2017). On humility. Accessed June 23, 2017, from http://www.chabad.org/library/article_cdo/aid/83807/jewish/On-Humility.htm.
Searles, H. F. (1960). The non-human environment in normal development and in schizophrenia. New York: International Universities Press.
Shapiro, E. & Pinsker, H. (1973). Shared ethnic scotoma. American Journal of Psychiatry, 130, 1338–1341.
Smith, M. B. (2005). Toward the outside: Concepts and themes in Emmanuel Levinas. Pittsburgh, PA: Duquesne University Press.
Sunnah—cited by Ibn Albas. https://abuaminaelias.com/humility-in-the-quran-and-sunnah/. Accessed 30 Oct 2017.
Sunnah—cited by Ibn Haman. https://abuaminaelias.com/humility-in-the-quran-and-sunnah/. Accessed 30 Oct 2017.
Tervalon, M. & Murray-Garcia, J. (1998). Cultural humility versus cultural competence: A critical distinction in defining physician training outcomes in multicultural education. Journal of Health Care for the Poor and the Underserved, 9, 117–125.
Thomä, H. & Kächele, H. (1994). Psychoanalytic practice. Volume 2: Clinical studies. Northvale, NJ: Jason Aronson.
Waelder, R. (1936). The principle of multiple function: Observations on multiple determination. Psychoanalytic Quarterly, 5, 45–62.
Weber, S. L. (2006). Doubt, arrogance, and humility. Contemporary Psychoanalysis, 42, 213–223.
Whitfield, C. L., Whitfield, B. H., Park, R. & Prevatt, J. (2006). The power of humility: Choosing peace over conflict in relationships. Deerfield Beach, FL: Health Communications Inc.
Williams, P. & Denney, J. (2016). Humility: The secret ingredient of success. Uhrichsville, OH: Shiloh Run Press (Barbour).
Worthington, E. L., Jr. (2007). Humility: The quiet virtue. Philadelphia, PA: Templeton Foundation Press.
Address Correspondence to Salman Akhtar, M.D., Professor of Psychiatry & Human Behavior , Thomas Jefferson Medical College, 833 Chestnut East, Suite 210-C, Philadelphia, PA 19107, USA.
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Akhtar, S. Humility. Am J Psychoanal 78, 1–27 (2018). https://doi.org/10.1057/s11231-017-9120-7