Ego Distortion
Ego Distortion
CI IAPT'E]< ONE
\Ego distortion
in terms of Tiue and False Self
D. W. Whnicott
Vtl Richtrds
History
This concept is not in itsclf new. It aPpears in various Suises itr
descriptive psychiatly and notably in certain religions and philosophical systems. Iividently a- real clinical state exists which
cleserves study, and the concept presents Psycho-analysis wi0r an
aetiolo8ical challenge. I'sycho-analysis concerns itself with the
questions:
(1)
(2)
(3)
(4)
(5) What are the e'quivalents to the False Self in normal people?
(6) WIrat is there that could be narned a'Irue Self?
It would appear to rne tlrat the iclea of a |alse Self, which is an
idea which our patients give us, can be discerned in the early
formulations of Freud. In particular I link what I divide into a True
and a l:alse Self with Freud's division of the self ir.rto a part that is
central and powered by the instincts (or by what Freud called
sexuality, pregenital and genital), and a part that is turned outwards and is related to the world.
Persontl contribuIion
My own contribution to tlris subject derives frorn rny working at
one and the same tirrle
ts anct
(b)
dependence.
that I arn examining the instincts are not yet clearly defined as
internal to the infant. The instincts can be as much external as can
a clap of tlrunder or a hil. The infant's ego is building uP strength
and in consequence is SettinB towards a state in which id-demands
developrnent occurs, then id-satisfaction becornes a very itnportant
strenBthen;r of the ego, or of the True Self; but id-excitements can
be traumatic when the ego is not yet able to include them, and not
yet able to contain the risks involved and the frustratious experienced up to the point wher.r id-satisfaction becomes a fact.
I A patient said to me: "Good management" (ego care) "such as
I have experienced during this hour is a feed" (id-satisfaction). He
could not have said this tlre other way round, for if I had fed him
he would have cornplied and this would have played into his False
Self defer.rce, or else he would have reacted and reiected my advances, mailrtaining his integrity by choosing frustration.
Other influences have been irnportant for ure, as for instance
whetr periodically I have been asked for a note on a Patient who is
now turder psychiatric care as an adult but who was observed by
rrryself when an infant or sllrall child, Often from my notes I have
been able to see that the psycl.riatric state that now exists was
' already to be discerned in the infant-mother relationship. (l leave
out infant-Iather relationships in this context because I am referring to early phenomena, those that concern the infant's relationship to the mothe!, or to the father as another mother. The
father at tl-ris very early stage has not become significant as a male
person.
l0
TltE PERSoN
wlto ts ME
Etantltle
as a
analyst's reliability;
"'(5)
will
be discussed later.
From the evolution of lhis case it lvas easy for me to see the
defensive nature of the False Self. Its defensive function is to hide
and protect the True Self, whatever that may be. Inrmediately it
beconres possible to classify False Self organizations:
(1) At one extrerne: the False Self sets up as real and it is this that
observers tend to think is the real person. In living relationships, work relationships, and friendships, l.rowever, the False
Self begins to fail. In situations in which what is expected is a
whole person the False Self has some essential lacking. At this
extreme the True Self is hidden.
(2)
Less extreme: the False Self defends the True Self; the True Self
SELF
11
or8anization !vith a Positive airn, tlre preservation of the individual in spite of abnorrnal environmental conditiot\s This is an
extension of the psycho-analytic coucept of the value of symptoms to the sick Person.
(3) fMore towards health: the False Self has as its main concern a
'search for conditions which will make it possible for the True
Self to conte into its owll. If conditions carxrot be found then
there Inust be reorgauized a nerv defence against exPloitation of
the True Self, and if there be doubt then t.he clinical result is
suicide' Suicide in this context is tl.re destruction of the total self
in avoidance of aturihilation of theTrueSelf. When suicide is the
only defence left against betrayal of the True Self, then it becomes the lot of the False Self to organize the suicide' This, of
course, involves its own destruction, but at the same time eliminates the need for its continued existence, since its function is
the protection of the True Self frotn insult.
,,.:'.
12
TltE fEl{soN
w o
'I RUE
ts Mrl
Aetiology
'fhe main way in which these concepts become of interest to psycho-analysts derives from a study of the way a False Self develops
at the br'Binning, in the infant-mother relationship, and (rnore im-
tallt) thc wny in which a l;alse Self does lrot bccome a significant feature in rrornral dcveloprnent,
The theory relative to this important stage in ontogenetic developrnent belongs to the observation of infant-to-nrother (regressecl
patient-to-analyst) living, anil it does not belong to the theory of
tearly mechanisms of ego-de{ence organized against id-impulse,
though of course these two subiects overlap.
To get to a statement of the relevant developmental process it
is essential to take into account the urother's behaviour and at!i:
tude, because in this field dependence is real, and near absolute.ll
is not possiblc lo stale ulutt takts place by rcferetrce to tlrc i{ant alone.
ln seeking the aetiology of the False Self we are examining the
stage of first object-relationships. At tlris stage the infant is most of
the time unintegrated, and never fully integrated; cohesion of the
various sensori-rnotor elernents belongs to the fact that the mother
holds the infant, sornetimes physically, and all the time figuratively. I'
the infant's sesture sives
source of tlre gesture is the True Self,
ancl the gesture ildicates the existence of a potential Irue Self. We
need to examine the way the mother Ineets this ilrfantile ournipotence revealed in a gesture (or a sensori-motor grouping). I have
lrere linked the idea of a True Self with the sPontaneous Sesttrre.
I,usioi'tf the niotility and erotic elernents is in process of becotning a fact at this period of dcvelopment of- the individual.
por
14
'
,
\
''i'
E PERSoN
wtlo ls ME
15
started (or else it becornes broken up, with a corresponding withdrawal on the part of the infant from advalrtages gained).
When the mother's adaptation is not good enough at the start
the infant might be expected to die physically, because cathexis of
external objects is rlot initiated. The infant rernains isolated. But in
gractice the infant lives, but lives falsely. The protest against being
lfbrced into a false existence can be detected from the earliest
lstages. The clinical picture is one o{ general irritability, and of
lfeeiling and other function disturbances which may, however, dislappear clinically, only to reappear in serious form at a later stage.
SDLP
-) ,,
/'
.
I
nates the scene. The llalse Self has one positive and very important
function: to hide the Trtre Self, which it does by compliance with
environmentaldemands.
ln the extreme examples of l:alse Self development, the 'l'rue
Self is so well hidden that spontaneity is lrot a {eature itr the infant's living experiences. Compliance is then the main feature,
with imitation as a speciality. When the degree of the split in the
infant's person is not too great there may be some almost personal
living through ilnitation, and it may even be possible for the child
to aci a special role, that of the True Self as it would be if it had lwd
extslence.
16
THE pERsoN
o rs ME
TRUE AND
years
it
is
-Devoted
17
The concept of
T-SE SELF
Iayer....)
I]
experience of aliveness.
Gradually the degree of sophistication of the infant becomes
such that it is more true to say that tlre l:alse Self hides the infant's
inner reality than to say that it hides the True Self. tsy this time the
infant lras an established limiting membrane, has an inside and
an outside, and has become to a considerable extent disentangled
lB
THE rERsoN
wlto
ts ME
adolescence.
chance.
Every new period of living in which the True Self has not been
seriously interrupted results in a strenBthening of the sense of
being real, and with ttris goes a growing capacity on the part of the
infant to tolerale two sets of Dhenomena; These are:
If the description of these two extremes and their aetiology is accepted it is not difficult for us to allow in our clinical work for the
existence of a low or a high degree of the Ialse Self defence, rarlgccrnrpliant False Self which is mistaken for the whole child. lt can
sontetimes this False Self defence can form the
easily be seetr
-that
basis {or a kind oI sublimation, as when a child grows up to be an
actor. ln regard to actors, there are those who can be themselves
and who also can act, wlteleas there are others who can only act,
ard who are comPletely at a loss when not in a role, and when not
being appreciated or applauded (acknowledged as existing).
(2) l{eactive or
In tl s way, by natural processes, the infant develops an egoorganization that is adapted to the environrnent; but this does not
happen automatically and indeed it can only happen if first the
True Self (as I call it) has become a living reality, bccause of the
mother's good-enough adaptation to the infant's living needs.
There is a compliant aspect to the True Self in healthy living, an
19
The True Self quickly develops complexity, and relates to _extenral reality by natural processes, by such processes as develop rn
the individual infant in the course of time. The infant then cortres
to be able to react to a stimulus without trauma because the stinlulus has a coturterpart in the individual's inner, psychic reality. The
inlant then accounts for all stimuli as proiections, but this is a stage
that is not necessarily achieved, or that is only partially achieved,
or it may be reached and lost. This stage having been achieved, Lhe
infant is now able to retain the sense of ornnipotence even when
reacting to environmental factors that the observer can discern as
truly extenral to the infant. All this precedes by years the infant's
capacity to allow in intellectual reasoning fr:r the operation of pure
(1)
SFLS
"Transitional Objects alrd Transitional I'henometra", 1951.) By contrast, where there is a high degree of sPlit between the True Self
and the False Self which hides the True Self, there is found a poor
capacity for using symbols, and a Poverty of cultural living lnslead of cultural pursuits one observes in such persons extreme
restlessrtess, an inability to concentrate, and a need to collect inrI
I
i
.I
IS ME
Clinical
for
the ltsycho-analyst
first the analyst discusses the child,s problem, and the chil<i
directly contacted. Analysis does not start until the nurse
lias left the child with the analyst, and the child has become able
to rernain alone with the analyst and has started to play,
(b) At the point of transition, when the analyst begins to get into
contact with the patient's True Self, ther.e rnust be a period of
extreme dependence. Often this is missed in analytic practice.
The patient has an illness, or in some other way gives the
analyst a chance to take over the False Self (nursemaid) function, but the analyst at that point fails to see what is lrappening,
and in consequence it is others who care for the patient and on
whom the patient becomes dependent in a period of disguised
regression to dependence, and the opportunity is missed.
(c) Analysts who are not prepared to go and meet the heavy needs
of patients who become dependent in this way must be careful
at
is not
"The only time I felt hope was when you told me that you could see
no hope, and you continued with the analysis."
so to choose their cases that they do not include False Self types,
ZI
applica t iott
I{eference has already been tnade to the intportance of a recognition of the Iralse Self personality when a diagnosis is being rnade
for the purposes of the assessrnent of a case for treatrnent, or the
assessment of a candidate for psychiatric or social psychiatric
work.
Cottsequetrces
SELF
On the basis of this one could say that the False Self (like
I
77
THE IERSoN
wHo
IS ME
functioning person, lhe l:alse Self, however well set up, lacks
something, and that something is the essential ccntral element of
creative originality.
Many other aspects of the application of this concept will be
described in the course of time, and it may be lhat in some ways
the concept itself will need to be modified. My object in giving atr
CFIAPTER 7'WO
n this discuslion, I