The second half of the twentieth century saw Winnicott's ideas extended and applied in a variety of contexts, both in psychoanalysis and beyond.
Kohut Psychoanalyst
Heinz Kohut extended Winnicott's work in his investigation of narcissism, seeing narcissists as evolving a defensive armor around their damaged inner selves. He considered it less pathological to identify with the damaged remnants of the self, than to achieve coherence through identification with an external personality at the cost of one's own autonomous creativity.
Lowen Psychotherapist
Alexander Lowen identified narcissists as having a true and a false, or superficial, self. The false self rests on the surface, as the self presented to the world. It stands in contrast to the true self, which resides behind the facade or image. This true self is the feeling self, but for the narcissist the feeling self must be hidden and denied. Since the superficial self represents submission and
conformity, the inner or true self is rebellious and angry. This underlying rebellion and anger can never be fully suppressed since it is an expression of the life force in that person. But because of the
denial, it cannot be expressed directly. Instead it shows up in the narcissist's
acting out. And it can become a perverse force.
Masterson Psychiatrist
James F. Masterson argued that all the
personality disorders crucially involve the conflict between a person's two selves: the false self, which the very young child constructs to please the mother, and the true self. The psychotherapy of personality disorders is an attempt to put people back in touch with their real selves.
Symington Neville Symington developed Winnicott's contrast between true and false self to cover the
sources of personal action, contrasting an autonomous and a discordant source of action – the latter drawn from the internalisation of external influences and pressures. Thus for example parental dreams of self-glorification by way of their child's achievements can be internalised as an alien discordant source of action. Symington stressed however the
intentional element in the individual's abandoning the autonomous self in favour of a false self or narcissistic mask – something he considered Winnicott to have overlooked.
Vaknin As part of what has been described as a personal mission to raise the profile of the condition, psychology professor (and self-confessed narcissist)
Sam Vaknin has highlighted the role of the false self in narcissism. The false self replaces the narcissist's true self and is intended to shield him from hurt and
narcissistic injury by self-imputing omnipotence. The narcissist pretends that his false self is real and demands that others affirm this
confabulation, meanwhile keeping his real, imperfect true self under wraps. For Vaknin, the false self is by far more important to the narcissist than his dilapidated, dysfunctional true self, and he does not subscribe to the view that the true self can be resuscitated through therapy.
Miller Psychologist
Alice Miller cautiously warns that a child/patient may not have
any formed true self, waiting behind the false self facade; and that as a result freeing the true self is not as simple as the Winnicottian image of the butterfly emerging from its cocoon. If a true self can be developed, however, she considered that the empty
grandiosity of the false self could give way to a new sense of autonomous vitality.
Orbach Psychotherapist
Susie Orbach saw the false self as an overdevelopment (under parental pressure) of certain aspects of the self at the expense of other aspects – of the full potential of the self – producing thereby an abiding distrust of what emerges spontaneously from the individual himself or herself. Orbach went on to extend Winnicott's account of how environmental failure can lead to an inner splitting of mind and body, so as to cover the idea of the false body – a falsified sense of one's own body. Orbach saw the female false body in particular as built upon identifications with others, at the cost of an inner sense of authenticity and reliability. Breaking up a monolithic but false body-sense in the process of therapy could allow for the emergence of a range of authentic (even if often painful) body feelings in the patient.
Jungian persona Jungians have explored the overlap between Jung's concept of the
persona and Winnicott's false self; but, while noting similarities, consider that only the most rigidly defensive persona approximates to the pathological status of the false self.
Stern's tripartite self Psychologist
Daniel Stern considered Winnicott's sense of "going on being" as constitutive of the core, pre-verbal self. He also explored how language could be used to reinforce a false sense of self, leaving the true self linguistically opaque and disavowed. He ended, however, by proposing a three-fold division of social, private, and of disavowed self.
The False Self and Mental Health Research by D. W. Winnicott and R. D. Laing have shown a link between maintaining a false self and poorer mental health. == Criticisms ==