Erik Erikson begins his book, Identity Youth and Crisis, by quoting one of his brilliant but opaque instructors, at the end of a series of lectures, “Now have I understood myself?” It is an appropriate question for a book full of new and challenging ideas. Erikson tells the reader that this book is a collection of revised manuscripts that he had previously published as individual articles. He rationalizes: “Single essays and papers are always ahead of themselves in suggestiveness and behind in firmness of established ground. Not until one tries to make a book of them can one really know what each meant to deal with, and what they have gradually come to mean together.”
I found some of the essays more useful than others, and all of them required my complete attention to follow this brilliant psychoanalyst’s reasoning. Here are some of my key takeaways, from several of the essays:
Prologue
• “The term identity crisis was first used, if I remember correctly, for a specific clinical purpose in the Mt. Zion Veterans’ Rehabilitation Clinic during the Second World War, a national emergency which permitted psychiatric workers of different persuasions and denominations… to work together harmoniously…. Most of our patients had neither been ‘shellshocked’ nor become malingerers, but had through the exigencies of war lost a sense of personal sameness and historical continuity. They were impaired in that central control over themselves for which, in the psychological scheme, only the inner agency of the ego could be held responsible. Therefore, I spoke of a loss of ego identity. Since then, we have recognized the same central disturbance in severely conflicted young people whose sense of confusion is due, rather to a war within themselves, and in confused rebels and destructive delinquents who war on their society… “
Allow me to emphasize that observations from World War II combat veterans were the inspiration for the concept of an identity crisis. One of the many contributions of the Veterans Affairs Healthcare System to medical (including psychiatry) knowledge.
• “… as always has been the case in psychiatry, what was first recognized as a common dynamic pattern of a group of severe disturbances (such as the hysterias of the turn of the twentieth century) revealed itself later to be a pathological aggravation, and undue prolongation of, or regression to, a normative crisis belonging to a particular stage of individual development. Thus have we learned to ascribe a normative identity crisis to the age of adolescence and young adulthood.”
Again, Erikson emphasizes, akin to Brene Brown years later, that his (and Freud’s) primary source of ideas was from interviews of his (their) patients. Pathography – patient narratives of illness.
Foundations in Observation
• “Students of society and history… blithely continue to ignore the simple fact that all individuals are born by mothers; that everybody was once a child; that people began in their nurseries; and that society consists of generations in the process of developing from children into parents, destined to absorb the historical changes of their lifetimes and to continue to make history for their descendants.”
• “… the growing child must derive a vitalizing sense of reality from the awareness that his individual way of mastering experience, his ego synthesis, is a successful variant of a group identity and is in accord with its life plan… the coincidence of physical mastery and cultural meaning… contribute to a realistic self-esteem. By no means only a narcissistic extension of infantile omnipotence, this self-esteem grows into a conviction that the ego is capable of integrating effective steps toward a tangible collective future, that is a well-organized ego within a social reality… called ego identity.”
Based upon his studies of school children and other healthy children, Erikson and his wife Joan made the observations that underlie his psychosocial stages of normal development. Failure to resolve the conflict of each stage can set up the maturing individual for aggravation, prolongation, and/ or regression which can become pathological (lead to an illness that causes one to become a patient).
The Lifecycle: Epigenesis of Identity
• “We may speak of the identity crisis as the psychosexual aspect of adolescing…”
• “Let us start from Freud’s far-reaching discovery that neurotic conflict is not very different in content from ‘normative’ conflicts which every child must live through in his childhood, and the residues which every adult carries with him in the recesses of his personality. For man, in order to remain psychologically alive, constantly re-resolves these conflicts just as his body combats the encroachments of physical deterioration.”
• “Marie Jahoda’s definition (of health): a healthy person actively masters his environment, shows a unity of personality, and is able to perceive the world and himself correctly…”
• Epigenetic principle, derived from the growth of an embryo in utero… “anything that grows has a ground plan each part arises at the proper rate and sequence…”
Identity Confusion in Life History (‘healthy’) and Case History (‘patient’)
• “An optimal sense of identity… is experienced merely as a sense of psychosocial well-being. Its more obvious concomitants are a feeling of being at home in one’s body, a sense of knowing ‘where one is going’, and an inner assuredness of anticipated recognition from those who count.”
• “Pathography remains the traditional source of psychoanalytic insight.”
Toward Contemporary Issues: Youth
• “In youth, ego strength emerges from the mutual confirmation of individual and community…”
• “In no other stage of the lifecycle… are the promise of finding oneself and the threat of losing oneself so closely allied.”
• “… the test of what you produce is the care that it inspires.”
Building on the eight stages of psychosocial development that he presented in Childhood and Society, Erik Erikson introduced and/ or emphasized several ideas in Identity Youth and Crisis:
• Ego is the place within our mind where conflict is resolved, and inner, or psychic, identity (I, self) is developed. This is in contrast to much contemporary usage of the term ego to connote selfish and/ or self-absorbed.
• Psychosocial: inner and outer; Erikson extended Freud’s insights about our inner world to include our developmental growth in finding our place among other humans; the difficulty in integrating these two realities can be a part of autism, for example.
• Normative; usual, average, or ‘normal’, observed among healthy subjects; as opposed to unusual, pathological, or observed primarily among patients.
• crisis is a developmental stage marked by psychic conflict resolutions;
• personal (or ego) identity is the ultimate developmental goal of sequentially completing these stages;
• the identity crisis is a specific function of adolescence, where the conflict is establishing one’s identity versus identity confusion.
Erikson built on Freud’s ideas of intrapsychic conflict between wishes (id) and constraints (super-ego) in the evolving personality or ego; and the idea that many mental health pathologies are often aggravations, prolongations, or regressions to a normative crisis: unresolved conflicts or unsuccessfully passed stages of development.
Identity Youth and Crisis is an important addition to the study of normal and abnormal human psychology. As with all of Erik Erikson’s work, be ready to look things up, reread, and study. It is not for the faint of heart or mind, but I have found it to be well worth the effort.