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by fostering confusion between two sorts of why-questions that Hempel had distinguished: explanation-seeking questions as to why something is the case, and confirmation-seeking why-questions as to why a hypothesis is credible Thus, a hypothesis that is pseudo-confirmed by some data cannot be warranted qua being the only [explanatory] game in town Alas, best explanation sanction was claimed for psychoanalytic etiologies to explain and treat the destructive behavior of sociopaths to no avail for years (cf Cleckley, 1988, pp 238 239, 438 439) I can now demonstrate the multiple failure of Freud s therapeutic argument for the etiologic probativeness of free association in psychopathology, no matter how revealing the associative contents may otherwise be in regard to the patient s psychological preoccupations and personality dispositions Let us take our bearings and first encapsulate the structure of his therapeutic argument.

Source: Andrasik (1986).

self-esteem to engage in bad deeds The self-af rmation view holds that high self-esteem individuals should show reduced dissonance effects because they have more self-af rmational resources to use to protect against dissonance Unfortunately, the research evidence on this question is mixed, with some studies showing greater dissonance effects for individuals with low self-esteem (Steele, Spencer, & Lynch, 1993) and other studies showing greater dissonance effects for persons with high self-esteem (Gerard, Blevans, & Malcolm, 1964) A nal alternative is the self-standards model of dissonance (Stone & Cooper, 2001) This model attempts to put the new look, self-consistency, and self-af rmation theories under a single conceptual umbrella by suggesting that dissonance results from the violation of salient normative or idiographic self-standards According to this model, when dissonant-relevant self-attributes are salient, higher dissonance should result in persons with high than low self-esteem.

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First, Freud inferred that the therapeutic disappearance of the neurotic symptoms is causally attributable to the cathartic lifting of repressions by means of the method of free association Relying on this key therapeutic hypothesis, he then drew two further major theoretical inferences: (1) The seeming removal of the neurosis by means of cathartically lifting repressions is good inductive evidence for postulating that repressions accompanied by affective suppression are themselves causally necessary for the very existence of a neurosis (1893, pp 6 7), and (2) granted that such repressions are thus the essential causes of neurosis, and that the method of free association is uniquely capable of uncovering these repressions, this method is uniquely competent to identify the causes or pathogens of the neuroses.

Step 2. Calculate the composite growth rate of demand from the various sources. Let us assume that our demand information gave the breakdown figures in percentages for each source, as well as annual compound growth rates for that source, as follows: Annual Compound Growth (%) 8 5 10

(Having convinced himself of the causal probativeness of the method of free association on therapeutic grounds in the case of those neuroses he believed to be successfully treatable, Freud also felt justified in deeming the method.

This is because high self-esteem individuals have higher personal standards and the dissonant behavior is more likely to be inconsistent with these standards When irrelevant self-attributes are salient, however, the opposite pattern is predicted to occur; this is because the positive irrelevant self-attributes should provide high self-esteem individuals with greater selfaf rmational resources to draw upon and therefore reduce the need to engage in self-justi cation via attitude change Last, when normative standards are more salient, dissonance should be equal between high and low self-esteem individuals because the same normative standard is determining dissonance arousal for everyone (see Stone & Cooper, 2001, for more detail regarding these predictions) The true distinctions between the original dissonance theory, the new look formulation, the self-approaches, and the self-standards model are sometimes nebulous, however, and ndings consistent with one approach can often be incorporated by another.

A patient was referred to me by a psychiatrist colleague because of my interest in severe personality disorders The diagnosis was borderline personality disorder with depressive and self-defeating tendencies If it can be believed, the patient was ejected from two other psychiatric hospitals because of the lethality of her suicide attempts! Fortunately, the treatment philosophy at our institution differed on this point Her pain was palpable The first dozen or so therapy sessions consisted of her sobbing, saying nothing, and my simply being there with her No conversation was possible Finally, she asked me to leave her alone She asked me why I cared Slowly the relationship began to grow, and a sense of trust developed She revealed parts of her life, including her hopes and fears, especially her fears of abandonment.

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