Deconfusion of the Child Ego State: A Relational Perspective

Abstract

This article proposes a theory of self based on Berne's (1961/1986) original structural model of ego states and on elements of object relations theory and self psychology. Consideration is given to the implications of this theory for psychotherapeutic methodology—including the therapist's use of self—as they relate to understanding and working with the internal dynamics of the Child ego state. The authors suggest that a congruent methodology for deconfusing the Child involves using the transferential relationship as the vehicle for deconfusion, and they identify four interrelated steps in this process. Transference and countertransference are defined and explored, case material is presented to demonstrate the therapist's use of self, and figures based on the structural model of ego states are offered for each step. When we refer to the therapist's interventions and behavior we mean to imply that the therapist always functions in the Adult. The authors demonstrate how Berne's therapeutic operations provide a valuable skeleton for mapping the processes of decontamination and deconfusion.