The American Journal of Psychoanalysis 2013, 73, (271-287)
© 2013 Association for the Advancement of Psychoanalysis 0002-9548/13
www.palgrave-journals.com/ajp/
FORMS OF CONCERN: TOWARD AN INTERSUBJECTIVE
PERSPECTIVE
Rami Tolmacz
The growing interest in the issue of concern, which appeared relatively late in psychoanalytical
literature, resulted in several distinctions. Winnicott distinguished between concern as an
expression of guilt and concern as a manifestation of joy, Brenman Pick distinguished between
real concern and spurious concern, and Bowlby distinguished between sensitive and compulsive
caregiving. The basic concepts of Buber's dialogical philosophy and intersubjective approaches
in psychoanalysis have created fertile ground for the study of concern, and enabled us to
conceptualize these distinctions in a way that has heretofore been lacking in psychoanalytical
thought.
KEY WORDS: capacity for concern; meanings of concern; healthy and pathological
concern; patterns of concern; intersubjective perspective.
DOI:10.1057/ajp.2013.14
A theory of intersubjectivity premised on the dynamic unconscious intersubjective
flow of affect, identification and recognition between people means that care is
the psychological equivalent to our need to breathe unpolluted air.
(Hollway, 2006, p. 11)
Children have the compulsion to put to rights all disorder in the family, to
burden, so to speak, their own tender shoulders with the load of all the others; of
course this is not only out of pure altruism, but is in order to be able to enjoy
again the lost rest and the care and attention accompanying it.
(Ferenczi, 1933, p. 166)
Coincidences are standard fare for people who find themselves wrapped up
in study of a particular subject over a long period of time. As I was thinking of
the topic of concern, a number of incidents caught my attention. The first
related to Knut, the first polar bear born at the Berlin Zoo in years, that
Rami Tolmacz, Ph.D., Clinical Psychologist; Lecturer at the Interdiscilinary Center, Herzliya,
Israel.
Address correspondence to Rami Tolmacz, Ph.D., School of Psychology, The Interdisciplinary
Center, P.O. Box 167, Herzliya 46150 Israel; e-mail: trami@idc.ac.il