“…In a series of articles published over the last few decades (Bach, 1975, 1977, 1994, 1998, 2001, 2002a, 2002b, 2008, 2011, 2016; Bach & Schwartz, 1972), I have suggested that although there are many ways of conceptualizing and organizing states of consciousness, I find it clinically useful to think of them in terms of the actor’s subjectivity, which I call subjective awareness , or of the spectator’s self-observational awareness, that is, in terms of these dual abilities to be both the subject and the object, both the experiencer and also the observer of one’s own states. At the extreme of being the subjective actor, we are totally immersed in our own self experience, a state of self-absorption and obliviousness to the other that may be related to extremes of depression or of elation and mania.…”