- In a sense, the current emphasis may be the historical ‘peaking’ of a long and gradual, if fluctuating, development in the history of psychoanalysis. We know that Freud’s first re-counted with the transference, the ‘false connection’, was its role as a resistance (Breuer and Freud 1893-1895). While Freud’s view of this complex phenomenon soon came to include its powerfully affirmative role in the psychoanalytic process, the basis importance of the ‘transference resistance’ remained. In the Dynamics of Transference (1912) stated in dramatic figurative terms the indispensable current functions of the transference: “For when all is said and done, destroying anyone in absentia or in effigies is impossible.” In fact, to some of us, the two manifestly opposing forces are two sides of the same coin. As, perhaps, the relationship is eve n more intimate, in the sense that the resistance is mobilized in the first place b the existence of (manifest or-often-latent) transference. It is spontaneous protective reaction against loss of love, or punishment, or narcissistic suffering in the unconscious infantile context of the process.
Historically, the effective reinstatement of his personal past into the patient’s mental life was thought to be the essential therapeutic vehicle of analysis and thus its operational goal. This was, of course, modified with time, explicitly or in widespread general understanding. The recollection or reconstruction of an experience, however critical its importance, evidently did not (except in relatively few instances) immediately dissolve the imposing edifice of structuralized reaction patterns to which it may have importantly y contributed, this (dissolution) might indeed occur-dramatically-in the case of relatively isolated, encapsulated, and traumatic experiences, but only rarely y in the chronic psychoneuroses whose genesis was usually different and far more complex. Freud’s (1914) discovery of the process of ‘working through’, along with the emphasis on its importance, was one manifestation of a major process of recognition of the complexity, persuasiveness, and tenacity of the current dynamics of personality, in relation to both genetic and dynamic factors of early or origin. Perhaps Freud’s (1937) most vivid figurative recognition of the pseudoparadoxical role of early genetic factors, If not understood as part of a complex continuum, was in his “lamp-fire” critique of the technical implications of Rank’s (1924) Trauma of Birth. The term pseudoparadoxical is used because the recovery of the past by recollection or reconstruction-if no longer the sole operational vehicle and goal of psychoanalysis-retains a unique intimate and individual explanatory value, essential to genuine insight into the fundamental issues of personality development and distortion.
When Ferenczi and Rank wrote The Development of Psychoanalysis in 1924, they proposed an enormous emphasis on emotional experience in the analytic process, as opposed to what was thought to be the effectively sterile intellectual investigation the n in vogue. Instead of the speedy reduction of disturbing transference experience by interpretation, these authors, in a sense, advised the elucidation and cultivation of emotional intensities. (As Alexander pointed out in 1925, however, the method was not clear.) These alone could lend a vivid sense of reality and meaningfulness to the basic dynamism of personality incorporated in the transference. Now it is to be masted and marked that in this work, too, there is no ‘repudiation’ of the past. Ultimately genetic interpretations were to be made. The intense transference experience, as mentioned, was intended to give body, reality, to the living past. Yet, the ultimate significance of construction was invoked, in the sense of ‘supplying’ those memories that might not be spontaneously available. It was felt that the crucial experiences of childhood had usually been promptly repressed and thus not experiences in consciousness in any significant degree. Therapeutic effectiveness of the process was attributed largely to the intensity of emotional experience, than to the depth and ramifications of detained cognitive insight. The fostering in of transference intensity, as, we can infer, was rather by withholding or scantiness of interpretations (as opposed to making facilitating interpretations) and, at times (as specifically stared), by mild confirming responses or attitudes in the affective sphere: These would tend to support the patient’s transference affects in interpersonal reality (Ferenczi and Rank 1024).
This is, of course, different from the recent emphasis on ‘early interpretation of the transference (Gill and Muslin 1976), which in a process in the cognitive sphere designed to overcome resistance to awareness of transference and thuds to mobilize the latter as an active participant in the analysis as soon as possible. What they have in common is an undeniable emphasis on current experience, explicitly in the transference. Also, in both tendencies there is an implicit minimization of the vast and rich territories of mind and feeling, which may become available and at times uniquely informative if fewer tendentious attitudes govern the analyst’s initial approach. Correspondingly, in both there is the hazard of stimulating resistance of a stubborn, well-rationalized maturity by the sheer tendentious of approachment, and similarly transference tendency pursued assiduously by the analyst.
The question of the moments entering a sense of conviction in the patient (a dynamically indispensable state) is, of course, a complex matter. However, if one is to think that few would doubt that immediate or closely proximal experience (‘today’ or ‘yesterday’) occasions grater vividness and sense of certainty than isolated recollection or reconstruction of the remote past. Thus the “here-and-now” in analytic work, the immediate cognitive exchange and the important current emotional experiences, and, under favourable conditions, contributes to other elements in the process, i.e., recovery or reconstruction of the past, a quality of vividness deriving from their own immediacy, which can infuse the past with life. Obviously, it is the experience of transference affect that largely engages our attention in this reference. However, we must not ignore the contrapuntal role of the actual adult relationship between patient and analyst. Corresponding is indeed the actual biological constellation that bings the transference itself into being. At the very least, a minimal element of ‘resemblance’ to primary figures of the past is a sine quo non for its emergence (Stone 1954).
Nonetheless, this contribution up to and including Gill’s, Muslin’s (1976) and Gill’s (1979) are highly-developed. However, did not introduce alternations in the fundamental conceptions of psychopathology and its essential responses to analytic techniques and process. Yet, there are, of course, varying emphases-namely quantitative-and corresponding positions as to their respective effectiveness. As Strachey states, "there is an approach to actual substantive modification in the keystone position assigned to introjective super-ego change as the essential phenomenons of analytic process-and possibly in the exclusive role assigned to transference interpretations as ‘mutative’.
A related or complementary tendency may be discerned in Gill’s (1979) proposal that “analytic situation residues” from the patient’s ongoing personal life, insofar as they are judged transferentially significant in free association, is brought into relation with the transference as soon as possible, even if the patient feels no prior awareness of such a relationship. It is as if all significant emotional experience, including extra-analytic experiences, could be viewed as displacement or mechanisms of concealed expression of his transference. That this is very frequently true of even the most trivial-seeming actual allusions to the analytic would, in that, the thoroughly extra-analytic references constitute a more subtle and different problems, ranging from dubiously interpretably minor issues to massive forms of destructive acting out connected with extreme narcissistic resistances and utterly without discernible 'analytic situation residues'. The massive forms are, of course, analytic emergencies, requiring interpretation. Still, such interpretation would usually depend on the awareness of the larger ‘strategic situations (Stone 1973), rather than on a detail of the free association communication (granting the latter’s usefulness, if present-and recognizable). However, the fact of the past or the historical as never entirely abandoned or nullified, becoming more even, the role assigned to it may be pale or secondary. That the preponderant emphasis on concealed transference may ultimately, constitute an “actually existing” change in technique and process, with its own intrinsic momentum.
The Ferenczi and Rank technique included, in effect, a deliberate exploitation of the transference resistance, especially in the sense of intense emotional display and discharged. While the polemical emphases of these authors are on (affective) experiences as the sine non of true analytic process-the living through of what was never fully experienced in consciousness in the past (with ultimate translation into ‘memories’, i.e., constructions)-the actual techniques (with a few exceptions) are not clearly specified in their book. For a detailed exposition of the techniques learned from Ferenczi, with wholehearted acceptance, as in the paper of De Forest (1942), which includes the deliberate building up of dramatic transference intensities by interpretative withholding and the active participation of the analyst as a reactive individual. Also included is the active directing of all extra-therapeutic experience into the immediate experiential stream if the analysis. The extreme emphasis on affective transference experience became at one time a sort of vogue, appearing almost as an end and measured by the vehemence of the patient’s emotional displays. In Gill’s own revival of and emphasis on a sound precept of classical techniques (preceded by the 1976 paper of Gill and Muslin), fundamentally different from that of Ferenczi and Rank in its emphasis, one discerns an increment of enthusiasm between the studied, temperate, and well-argued paper of (1979) and the later paper of the same year (1979), which includes similar ideas greatly broadened and extended ti a degree that is, in it's difficultly to accept.
Now, what is it that may actually be worked out in the present-(1) as a prelude to genetic clarification and reduction of the transference neurosis or (2) as a theoretical possibility in its own right without reliance on the explanatory power or specific reductive impact of insight into the past? First some general considerations of whether or not one is an enthusiastic proponent of ‘object relations theory’ in any of its elaborate forms, seems self-evident that all major developmental vicissitudes and conflicts have occurred in the context of important relations with important objects and that they or their effects continue to be reflected in current relationships with persons of similar or parallel importance. That we assume that the psychoanalytic situation (and its adjacent ‘ extended family’) provides a setting in which such problems may be reproduced in their essentials, both effectively and cognitively.
There is something deductively engaging in the idea that an individual must confront and solve his basic conflicts in their immediate setting in which they arise, regardless of their historical background. Certainly this is true in the patient’s (or anyone else’s) actual life situation. Some possible and sometimes state corollaries of this view would be that the preponderant resort to the past, whether by recollection or reconstruction, would be largely in the service of resistance, in the sense of a devaluation of the present and a diversion from its ineluctable requirements. It would be as if the United Kingdom and Ireland would undertake to solve the current problems in Ulster essentially by detailed discussion of Cromwell’s behaviour a few centuries ago. Granted that the latter might indeed illuminate the historical contribution of some aspects of the current sociopolitical dilemma, there are immediate problems of great complexity and intensity from which the Cromwell discussion might indeed by a diversion, if it were magnified beyond it's clear but very limited contribution, displacing in importance the problematical social-political-economic altercation of the present and the recent clearly accessible and still relevant past. As with so many other issues, Freud himself was the first to note that resort to the past may be involved by the patient to evade pressing and immediate current problems. In conservative technique, it has long been noted that some judicious alternations of focus between past and present, according to the confronting resistances trend, may be necessary (for example, Fenichel 1945). However, it was Horney (1939) who placed the greatest stress on the conflict and the greatest emphasis on the recollection trend as supporting resistance.
Now, from the classical point of view, the emphasis is quite different. The original conflict situation is intrapsychic, within the patient, though obviously engaging his environment and ultimately-most poignantly and productively-his analyst. This culminates in a transference neurosis that reproduces the essential problems of the object relationships and conflicts of his development. Thus, in principle, the vicissitudes of love or hate or fear, etc., do not require, or even admit of, ultimate solution in the immediate reality, perceived and construed as such. The problem is to make the patient aware of the distortions that he has carried into the present and of the defensive modes and mechanisms that have supported them. Obviously, the process (‘tactical’) resistances present themselves first for understanding; later there are the ‘strategic’ resistances (i.e., those not expressed in manifest disturbances of free association) (Stoner 1973). Insofar as the mobilization of the transference and the transference neurosis is accorded a uniquely central holistic role in all analyses, the ‘resistance to the awareness of transference’, becomes a crucial issue, the problem of interpretive timing on which a controversial matter from early. Ultimately the bedrock resistance, the true ‘transference resistance’, must be confronted and dissolved or reduced to the greatest possible degree. Such a reduction is construed as largely dependent on the effective reinstatement of the psychological prototype of current transference illusions, with an ensuing sense of the inappropriateness of emotional attitudes in the present and the resultant tendency toward their relinquishment. In a sense, the neurosis is viewed as an anachronistic but compelling investitures of the current scene within unresolved conflict of the past. When successfully reduced, this does appear to have been the accessibly demonstrable phenomenology.
What then may be carried into the analytic situation from the ‘hard-nosed’ paradigm of the struggle with every day, current reality, with advantage to the process? We have already made mention, in that the sense of conviction, or ‘sense of reality’-affective and cognitive-which originates in th immediacy of process experience. It is our purpose and expectation that, with appropriate skill and timing, this quality of conviction may become linked too other, fewer immediate phenomena, at least in the sense of more securely felt perceptions, including first the fact of transference and ultimately its accessible genetic origins. What furthers? Insofar as the transference neurosis tends toward organic wholeness, a sort of conflict ‘summary’ by condensation, under observation in the immediate present, one may seek and find access in it, not only to the basic conflict mentioned, but to uniquely personal mode of defence and resistance, revealed in dreams, habits of free association, symptomatic acts, parapraxes, and the more direct modes of personal address and interaction that are evident in every analysis. Further, in this view, although not always as transparent as one would wish, this remarkable condensation of effect, impulse, defence, and temporary conflict solution adumbrates more dependably than any other analytic element (or grouping of elements) the essential outlines of the field of obligatory analytic work of a given period of the patient’s life. In it is the tightly knotted tangle deprived from the patient’s early or prehistoric life enmeshed in him actualities of the analytic situation and his germane and contiguous ongoing life situations.
Also, in the sphere of the “here-and-now,” and of extensive importance, is the role of actualities in the analytic situation. Whether in the patent’s everyday life or in the analytic relationship, the even-handed, open-minded attention to the patient’s emotional experience (especially his suffering or resentment) as to what may be actual, as opposed too ‘neurotic’ (i.e., illusory or unwittingly provoked) or specifically transferential, is not only epistemologically deductive for reason that is also a contribution to the affective soundness of the basic analytic relationship and thus of inestimable importance. At the risk of slight-very slight-exaggeration, in that with excepting instances of pathological neurotic submissiveness, as a patient who wholeheartedly accepted the significance his neurotic or transference-motivated attitudes or behaviour if he felt that ‘his reality’ was not given just due. Furthermore, even the exploration and evaluation of complicated neurotic behaviour must be exhaustive to the point where a spontaneous urge to look for irrational motivations is practically on the threshold of the patient ‘s awareness. Once, again, one must stress the impact of such a tendency on the total analytic relationship. For, not only are the quality and mood of utilization of interpretations, but ultimately the subtleties of transition from a transference relationship to their realities of the actual relationship depend, on a greater degree than has been made explicit, on the cognitive and emotional aspects of the ongoing experience in the actual sphere. Greenson (1971, 1972. Wexler 1969) devoted several of his last papers to this important subject. The subject, of course, includes the vast spheres of the analyst’s character structure and his countertransference. However, more than may be at first apparency, can reside in the sphere of conscious consideration of technique e and attitude in relation to a basic rationale.
However, apart from the immediate function of painstaking discrimination of realities and the impact of this attitude on the total situation, there remains the important question of whether important elements of true analytic process may not be immanent in such trends of inquiry. The vigorous exploration and exposure of distortions in object relations, via the transference or in the affective and behavioural patterns of everyday life, including defence functions, can conceivably catalyse important spontaneous changes in their own right. To further this end, the traditional techniques of psychoanalysis will, of course, be utilized. As an interim phenomenon, however, the patient struggle to deal with distortions, as one might with other error subject to conscious control or pedagogical correction. It is to reasons of conviction that such a tendency may be productive (both as such, and in its intrinsic c capacity to highlight neurotic or conflictive fractions) and has been insufficiently exploited. Nonetheless, there is no reason that the specific dynamic impact of th past is lost or neglected in its ultimate importance, in giving attention to a territory that is, in itself, of a great technical potentiality.
Practitioners and theorists such as Horney (1939) or Sullivan (1953) did not reject the significance of the past, even though its role and proportionate position, both in process and theoretical psychodynamics, was viewed differently. The persisting common features in these views would be a large emphasis on sociological and cultural forces and the focussing of technical emphasis on immediate interpretation transactions.
Granted that various technical recommendations of both dissident and ‘classical’ origin, including those on the nature and reduction of the transference, sometimes appear to devaluate the operational importance of the genetic factor, this devaluation is not supported by the clinical experience of most of those that were indeed of closely scrutinizing it as part of the confessio fidei of major deviationists. Certainly, both in theoretical principle and in empirical observation, this essential direction of traditional analytic process remains of fundamental importance. Conceding the power and challenge of cumulative developmental and experiential personality change and the undeniable impact of current factors, it remains true that the uniquely personal, decisive elements in neurosis, apart from constitution, originate in early individual experience. How to mobilize elements into an effectively mutual function is largely a technical problem and-in seeming paradox-relies to a considerable degree on the skilful handling of the “here-and-now.” The purposive technical pursuit of the past has not been clinically rewarding. That the ultimate effort to recover an integrated early material in dynamic understanding may not always be successful, especially in severe cases of early pathogenesis is, of course, evident (for example, Jacobson 1971). In such instances, while our preference would be otherwise, we may have to remain largely content with painstaking work in the “here-and-now,” illuminated to whatever degree possible by reasonable and sound, if necessarily broad, constructions dealing largely with ego mechanisms than primitive anatomical fantasies. In other events, sometimes after years of painstaking work, even large and challenging characterological behavioural trends that have been viewed, clarified, and interpreted in a variety of current transference, situational (even cultural) references will show striking rottenness in earl y experience, conflict, and conflict solution whose explanatory value then achieves a mutative force that remains uniquely among interpretative manoeuvres or spontaneous insights. To this end, the broader aspects of ‘strategic’ resistance (Stone 1973) must be kept in mind, a much subtle element of countertransference and counterresistance.
It would seem proper that at this point of giving to a summation of the current ferment regarding the “here-and-now” of which any number of valuable critique and theoretical and technical suggestions that may help us to improve the analytic effectiveness, it would seem that the emphasis on the “here-and-now” interpreting not only consistently with but also ultimately indispensable for genuine access to the critical dynamism deriving from the individual’s early development. Nor is this reflexive, assuming the technical sophistication-inconsistent with the understanding and analysis of continuing developmental problems, character crystallization and the influence of current stresses as such. Adequate attention to the character as a complex interpretational group permits the clear and useful emergence in or the analytic field of significant early material, as defined by the transference neurosis between the technical approaches and that of Gill (1979, 1979), apart from certain larger issues. Whereas Gill would apparently recommend searching out ‘day residues’ of probable transference in the patient’s responses to the analysis or analyst and in his account of his daily life and offer possible alternative explanations to the patient’s direct and simple responses to them as self-evident realities, first relying on the acceptance and exploration of the patient’s ‘reality’, with the possibility that this will incidently favour the relatively spontaneous precipitation of more readily available transference materials, this general Principle does not, of course, obviate or exclude the other alternatives as something preferable?
Consideration of the interaction between the two adult personalties in the analytic situation requires a mixture of common sense and interest in self-evident (although often ignored) elements, on the one hand, and abstrusely psychological and Metapsychological considerations, on the other.
Thus, if we set aside from immediate consideration questions regarding the ‘real relationship’ and accept as a given self-evident fact that the entire psychoanalytic drama occurs (without our question or permission) between two adults in the “here-and-now” the residual is due becomes the management of the transference, which has been a challenging problem since the phenomenon was first described. Let us assume, for purposes of brevity, that few would now adhere to the principle that the transference is to be interpreted only when it becomes a manifest resistance (Freud 1912). It is in fact always a resistance and at the same time a propulsive force (Stone 1962, 1967, 1073). It has long since been recognized that an undue delay of well-founded transference interpretations (regardless of the state of the patient’s free association) can seriously hinder progress in analysis, and further, it cas augment the dangers of acting out or neurotic flight from the analysis by the patient. The awareness of such danger has been clearly etched in psychoanalytic consciousness since e Freud’s (1905) insight into the end of the Dora case.
Apart from the hazzards inherent in technical default, nonetheless, there has developed over the years with increasing momentum, perhaps in some relations of the increasing stress on the transference neurosis as a nuclear phenomenon of process. The affirmative active address to the transference, i.e., to the analysis-or some by time is the active interpretative bypassing-of the ‘resistances to the awareness of transference
. . . operational emphasis on the countertransference, the tendency-in rational for a proportion-must be regarded as an important integral component of a progressively evolving psychoanalytic method. That individuals vary in their acceptance of technical devotion to this tendency is to be note (as indicated earlier), but its widespread practice by thoughtful analysts cannot be ignored, by the importance of its disregarded note of countransference among analysts, which would tend to restore n earlier emphasis digestedly approach to historical material and avoidance of early or excessive; transference historical material and the avoidance of earlier excessive’ transference interpretation.
A few words about our view on th relatively a circumscribed problem of transference interpretation. It is of the belief of longstanding conviction that the economic aspects of transference distribution are critically important, although largely ignored the seeking utilization of this consideration, a broad directional sense, by distinguishing between the potential transference of the analytic situation and those of the typical psychotherapeutic situation (as beyond that, the transference of everyday life. These varying their degree of emergence and their special investment of transference objects with the intensiveness of contact, with the structural emends of deprivation, and with the degree of regressive attention the operation of the rule of abstinence, which is, of course, most highly developed and consistently maintained in the traditional psychoanalytic situation (Stone 1961). Thus although subject to constant infirmed monitoring, the transference can be as medical, at least latently directed ultimately toward the analyst (compared with the cooperated persons in their environment).
Now, under what conditions and with what provisions should the awareness of such transference potentialities be actively mobilized? Obviously, the original precept regarding its emergence as resistance still trued in its implied affirmative aspect but is no longer exclusive. Further, there are, without question, early transference ‘emergences’ that must be dealt with by an active interpretive approach: For example, the early rapid and severe transference regression of borderline patients or the less common some timely seriously impeding erotic transference fulminations in neuronic patients. These are special instances in which the indications seem clear and obligatory.
The central situation, nonetheless, is the ‘average’ analysis (with apologies!), where the latent transferences tend to remain ego-dystopia, warded off, deploring slowly over periods, and manifesting themselves by a variety of derivative phenomena of variable intensity. Surely, dreams, parapraxes, and trends of free association will reveal basic transference directions very early. However, when should these be interrelated to the patient if he is effectively unaware of them? Again, ‘all things' being equal’, an old principle of Freud’s suggested for all interpretative interventions (as opposed, for example, to clarification), is applicable: That unconscious elements are interpreted only when the patient evidences a secure positive attachment the analyst. Yet, this would not obtain in the fact of the ‘emergencies’ of growing erotic or aggressive intensities, certainly of ‘acting out’ is incipient. The disturbing compilations (even in the ‘erotic’ sphere) occur most often when basic transferences are ambivalent (largely hostile) or coloured by intense narcissism. Therefore, in relation to Freud’s valuable precept, it may be understood that in certain cases, the interpretation of ambivalent hostile transferences may be obligatory prerequisite to the establishment o f the genuinely positive climate that required. In such instances of obligatory intervention, the manifestations that require them are usually quite explicit,
Again, then, what about the relatively uncomplicated case, the chronic neurotic, potentially capable of relatively mature relations to objects? Still, the coping with complications do not seem as in question. There are, a few essential conditions and one cardinal rule. First the patient’s sense of reality and his common sense must not be abruptly or excessively tax, lest, in untoward reaction, his constructive imaginative capacities become unavailable. Preliminary explanations and tentative preparatory ‘trail’ interventions should be freely employed to accustom him to a new view of the world. The traditional optimum for interpretation (when the patient is on the verge of perceiving its content himself [Freud 1940] is indeed best, although it must sometimes be neglected in favour of an active interpretative approach. Second, the patient’s sense that the vicissitudes and exigencies of his actual situation are understood and respected must be maintained
Beyond these considerations, the essential principle is quite simple. If it is assumed that-in the intensive, abstinent, traditional psychoanalytic situation (as differentiated from most psychotherapeutic situations)-the transference (ultimately the transference neurosis) is ‘pointing’ toward the unconscious trend is heavily weighted in this direction, there is still a manifest element of movement toward other currently significant objects. Thus, a latent economic problem assumes clinical form: Essentially, the growing magnitude of transference cathexes of the analyst’s person, as withdrawn to varying degree from important persons in the environment with whom most of the patient’s associations usually deal. There is a point, or a phase, in the evolution of transference in which analytic material (often priori to significant subjective awareness) indicates the rapidly evolving shift from extraanalytic objects to the analyst. In this interval (early in some, later in others) the analyst’s interventions, whether in direct substantive form or aimed at resistances to awareness of transference, often become obligatory and certainly most often successful in mobilizing affective emphasis into the “here-and-now” of the analytic situation. The vigorous anticipatory interpretations suggested by some may be helpful in many instances (at least as preparatory manoeuvres) if (1) the analyst is certain of his views, in terms of not only the substance but the quantitative (i.e., economic) situation (2) the patient’s state soundly receptive (according to well-established criteria) (3) neither the patient’s realities nor his sense of their realities are put to unjustified questions or implicit neglect (4)a sense of proportion regarding the centrality of issues, largely as indicated by the outline of the transference neurosis (of their adumbration), are maintained in a real consideration. This will avoid the superfluous multiplication of transference references that like the massing of scatted genetic interpretations (familiar in the past), can lead to a ‘chaotic situation’ resembling that against which Wilhelm Reich (1933) inveighed. This will be more striking with a compliant patient who can as readily become bemused with his transference as with his ‘Oedipus’ or his ‘anality.’
Once the affective importance of the transference is established in the analysis, a further (hardly new) question arises, with which some of us have sought to deal in a therapist. Even if some agrees that transference interpretations have a uniquely mutative impact, how exclusively must we concentrate on them? Moreover, to what degree and when are extraanalytic occurrences and relationships of everyday life to be brought into the scope of transference interpretation? With regard to the concentration of transference interpretation alone: a large, complex, and richly informative worlds of psychological experience are obviously attention if the patient ‘s extra therapeutic life is ignored. Further, if the transference situation is unique in an affirmative sense, it is also unique by deficit. To revile at the analyst, for example, is a different experience from reviling at an employer who might ‘fire’ the patient or from being snide to a co-worker who might punch him (Stone 1067 and Rangell 1979). Such experiences are also components if the “here-and-now” (granted that the “here”aspect is significantly vitiated), and they do merit attention and understanding in their own right, specially in the sphere of characterology. Certain complex reaction pasterns cannot become accessible in the transference context alone.
At the time of speaking it is true that many spectacular extraanalytic behaviours can, and should be seen as displacements (or ‘acting out’) of the analytic transference or in juxtaposed ‘extended family’ relation to it, especially where they involve consistent members of an intimate dramatis personae? While such ‘extra-therapeutic’ transference interpretations (often clearly Germaine to the conflicts of the transference neurosis) can be indispensable, the confronting vigour and definiteness with which they are advanced (as opposed to tentativeness) must always depend on the security of knowledge of preceding and current unconscious elements that invest the persons involved.
Finally, there are incidents, attitudes, and relationships to persons in the patient’s life experience who are not demonstrably involved in the transference neurosis, yet evoke importantly and characteristic responses whose clarification and interpretation may contribute importantly to the patient’s self-knowledge of defences, character structure, and allied matters. Nonetheless, such data may occasionally show a vitalizing direct relationship to historical materials. It would not seem necessary or desirable that such material be forced into the analytic transference if the patient does not respond to a tactful tentative trail in this connection, for example, the ‘alternative’ suggestion proposed by Gill (1979). For the economic considerations that often obtain, and it may be that certain concurrent transference cluster, not readily related to the mainstream of transference neurosis, retain their own original extra-therapeutic transference investment. In some instances, a closer, more available e relationship to the transference mainstream may appear later and lend itself to such interpretative integration. In so doing, happening is likely if obstinate resistances have not been simulated by unnecessary assault on the patients' sense of immediate reality, or his sense of his actual problems. As for metapsychology, one may recall also that all relationships, following varying degrees of development and conflict vicissitudes, are derived greatly from the original relationship to the primal object (Stone 1967), even if their representations are relatively free of the unique ‘unneutralized’ cathexes that characterize active transference (‘transfer’ verus ‘transference’: Stern 1957).
Caring for a better understanding, to what the concerning change, as seen in the psychotherapy of schizophrenic patient, and particularly in reference to the sense of personal identity, may to this place be clearly vitiated in material that relates to extra-therapeutic experience, whether this is seen ‘in its own right’ or as displaced transference. The direct transference experience occurs in relations an individual who knows his own position, i.e., knows ‘both sides’ as in no other situation. (Even where there are interposing countertransference. There are at least susceptible to a self-analysis). This can never be true in the analysis of an extra-therapeutic situation, as there is no inevitable cognitive deficit. For this we must try to compensate by exercising maximal judgement, by exploiting what is revealed about the patient himself in sometimes unique situations, and by being sensitive to the growing accuracy of his reporting as the analyst progresses. Epistemologic deficits' are intrinsic in the very nature of analytic work. This is but one important example.
We need to be alert to the respects in which the concepts and technique of our particular science may lend themselves to the repression, in us and our patients, of anxiety concerning change.
Our necessary delineation of the repetitive patterns between the transference and countertransference tends to become so preoccupying as to obscure the circumstance that, as Janet M. Rioch phrases it, “What is curative in the [analytic] process is that in tending to reconstruct in which the analyst that an atmospheric state that obtained in childhood, the patient effectively achieves something new” (Rioch 1943).
Our necessarily high degree of reliance upon verbal communication requires us to be aware of the extent to which grammatical patterns having a tendency to segment and otherwise render static our ever-flowing experience; this has been pointed out by Benjamin (1944); Bertrand Russell (1900), Whorf (1956) and others. The tendency among us to regard prolonged silence for being given to disruptiveness in the analytic process, or evidence per se of the patient’s resistance to it, may be due in part to our unconscious realization that profound personalty-change is often best simplified by silent interaction with the patient; therefore, we have an inclination to press forward toward the crystallization of change-inhibiting words.
What is more, our topographical views of the personality a being divisible into the area’s id, ego, and superego, are so inclined to shield us from the anxiety-fostering realization that, in a psychoanalytic cure, change is not merely quantitative and partial
as of “Where id was, there shall Ego be,” in Freud’s dictum, but qualitative and all-pervasive. Apparently such data system in a passage is to provide accompaniment for Freud, as he gives a picture of personality-structure, and of maturation, which leaves the inaccurate but comforting impression that at least a part of us-namely, a part of the id-is free from change. In his paper entitled Thought for the Times on War and Death. In 1915, he said, "the evolution of the mind shows a peculiarity that is present in no other process of development." When a village grows into a town, a child into a man, the village, and the child become submerged in the town and the man. . . . It is in other considerable levels that the accompaniment with the development of the mind . . . the primitive stage [of mental development] can always be re-established; the primitive mind is, in the fullest meaning of the word, imperishable (Freud 1915).
In Introductory Lectures on Psycho-Analysis, he says that “in psychoanalytic treatment. . . . By means of the work of interpretation, which transform what is unconscious into what is conscious, the ego is enlarged at the expense of this unconscious.” In the Ego and the Id, he said that, " . . . the ego is that part of the id modified by the direct influence of the external world . . . the pleasure-principle . . . reigns unrestricted by the id. . . . The ego represents what may be called reason and common sense, in contrast to the id, which contains the passions” (Freud 1923).
Glover, in his book on Technique published in 1955, states similarly that, . . .” A successful analysis may have uncovered a good deal of the repressed . . . [and] have mitigated the archaic censoring functions of the superego, but it can scarcely be expected to abolish the id” (Glover 1955).
Favorably to have done something to provide by some measure, conviction, feeling, mind, persuasion, sentiment used to form or be expressed of some modesty about the state of development of our science, and about our own individual therapeutic skills, should not cause us to undertake the all-embracing extent of human personality growth in normal maturation and in a successful psychoanalysis. Presumably we have all encountered a few fortunate instances that have made us wonder whether maturation really leaves any area of the untouched personality, leaves any steel-bound core within which the pleasure principle reigns immutably, or whether, instead, we have a genuine metamorphosis, from a former hateful and self-seeking orientation to a loving and giving orientation, quite as wonderful and thoroughgoing as the metamorphosis of the tadpole into the frog or that of the caterpillar into the butterfly.
Freud himself, in his emphasis upon the ‘negative therapeutic reaction’ (1923), the repetition compulsion, and the resistance to analytic insight that he discovered in his work with neurotic patients, has shown the importance, in the neurotic individual, of anxiety concerning change, and he agrees with Jung’s statement that ‘a peculiar psychic inertia, hostile to change and progress, is the fundamental condition of neurosis’ (Freud 1915). This is, even more true of the psychosis-so much so that only in very recent decades have psychotic patients achieved full recovery through modified psychoanalytic therapy. Also, it has instructively to explore and deal the psychodynamics of schizophrenia as for the anxiety concerning change which one encounters, in a particular intense degree, at work in these patients, and of ones own, inasmuch as for treating them. What the therapy of schizophrenia can teach us of the human being’s anxiety concerning change, can broaden and deepen our understanding of the non-psychotic individual also.
Further, we see that during his development years he lacks adequate models, in his parents or other parent-figures, with whom to identify about the acceptance of outer changes and the integration of inner change as personality-maturation throughout adulthood. Alternatively, these are relatively rigid persons who, over the years, either/or tenaciously resist change, if anything becomes progressively constricted, fostering him in the conviction that the change from a child into adult is more loss than gain-that, as one matures, fewer feelings and thoughts are acceptable, until finally one is to attain, or be confined to, the thoroughgoing sterility of adulthood. The sudden, unpredictable changes that puncture his parent’s rigidity, due to the eruption of masses of customarily-repressed material in themselves, make them appear to him, for the time being, like totally different persons from their usual selves, and this adds to his experience that personality-change is something that is not to be striving for, but avoided as frighteningly destructive and overwhelming.
We find evidence that he is reacting to, by his parents during his upbringing, predominantly concerning transference and projection, for being the reincarnation of some figure or figures from their own childhood, and the personification of repressed and projected personality-traits in themselves. Thus he is called upon by them, in an often unpredictably changing fashion, to fill various rigid roles in the family, leaving him little opportunity to experience change as something that can occur within himself, as a unique human individual, in a manner beneficial to himself.
When the parents are not relating to him in such a transference fashion they are, it appears, all too often narcissistically absorbed in them. In either instance, the child is left largely in a psychological vacuum, in that he has to cope essentially alone with his own maturing individuality, including the intensely negative emotions produced by the struggle for individuality in such a setting. Because his parents are afraid of the developing individual in him, he too fears this inner self, and his fear of what is heightening parenthetical parents within investing him with powers, based upon the mechanisms of transference and projection that by it's very nature does not understand, powers that he experiences as somehow flowing from himself and yet not an integral part of himself nor within his power to control. As the years bring tragedies to his family, he develops the conviction that he somehow possesses all ill-understood malevolence that is totally responsible for these destructive changes.
In as far as he does discover healthy maturational changes at work in his body and personality, changes that he realizes to be wonderful and priceless, he experiences the poignant accompanying realization that there is no one there to welcome these changes and to share his joy. The parents, if sufficiently free from anxiety to recognize such changes at all, have a tendency to accept them as evidence that their child is rejecting then by growing functionally. Also to be noted, in this connexion, is their lack of trust in him, their lack of assurance that he is elementally good and can be trusted to maturational bases of a good healthy adult. Instead they are alert to find, and warn him against, manifestations in him that can be construed as evidence that he is on a predestined, downward path into an adulthood of criminality, insanity, more at best ineptitude for living.
Moreover, he emergences change not as something within his own power to wield, for the benefit of himself and others but as something imposed from without. This is due not only to structures that the parents place upon his autonomy, but also to the process of increasing repression of his emotions and life as, such that when this latter manifest themselves, they do so in a projected expressive style, for being uncontrollable changed, inflicted upon him from the surrounding world? We see extreme examples of this mechanism later on. In the full-blown schizophrenic person who experiences sexual feelings not as such but as electric shocks sent into him from the outside world, and who experiences anger not as an emerging emotion directorially fittingly as in a way up from within, but a massive and sudden blow coming somehow from the outer world. In fewer extreme instances, in the life of the yet-to-become-schizophrenic youth, he finds repeatedly that when he reaches out to another person, the other suddenly undergoes a change in demeanour, from friendliness to antagonism, in reaction to an unwitting manifestation of the youths’ unconscious hostility. The youth himself, if unable to recognize his own hostility, can only be left feeling increased helplessness in face of an unpredictably changeable world of people.
The final incident that occurs before his admission to the hospital, giving him still further reason for anxiety as for change, is his experience of the psychotic symptoms as an overwhelming anxiety-laden and mysterious change. His own anxiety about this frightened away by the seismic disturbance and horror of the members of his family who finds hi ‘changed’ by what they see as an unmitigated catastrophe, a nervous or mental ‘breakdown’. Although the therapist can come to see, in retrospect, a potential positive element via this occurrence-namely, the emergence of onetime-repressed insights concerning the true state of affairs involving the patient and his family, none of those participants can integrate so radically changed a picture at that time. Over the preceding years the family members could not tolerate their child’s seeing himself and them with the eyes of a normally maturing offspring, and when repressed percepts emerge from repression in him, neither they nor he possesses the requisite ego-strength to accept them as badly needed changes in his picture of himself and of them. Instead, the tumult of depressed percepts foes into the formation of such psychotic phenomena as misidentifications, hallucinations, and delusions in which neither he nor the member of his family can discern the links to reality that we, upon investigation in individual psychotherapy with him, can find in these psychotic phenomena-links, that is, to the state of affairs that has really held sway in the family. Paretically, it should be marked and noted that the psychotic episode often occurs in such ac way as to leave the patient especially fearful of sudden change, for in many instances the de-repressed material emerges suddenly and leads him to damage, in the short space of a few hours or even moments, his life situation so grievously that repair can be affected only very slowly and painfully, over many subsequent months of treatment in the confines of a hospital.
It should be conveyed, in that the regression of the thought-processes, which occurs as one of the features of the developing schizophrenia, results in an experience of the world so kaleidoscopic as to make up still another reason for the individual’s anxiety concerning change. That is, as much as he has lost thee capacity to grasp the essentials of a given whole-to the extent that he has regressed to what Goldstein (1946) terms the ‘concrete attitude’-he experiences any change, even if it is only in an insignificant (by mature standards) detail of that which he perceives, as a metamorphosis that leaves him with no sense of continuity between the present perception and that immediately preceding. This thought disorder, various aspects of which have been described also by Angyal (1946), Kasanin (1946), Zucker (1958), and others, is compared by Werner with the modes of thought that are found in members of so-called primitive cultures (and in healthy children of our own culture): . . . in the primitive mentality, particulars often as self-subsisting things that do not necessarily become synthized into larger entities. . . . The natives of the Kilimanjaro region do not have a word for the whole mountain range that they inhabit, only words for its peaks. . . . The same is reported of the aborigines of East Australia. From each twist and turn of a river has a name, but the language does not permit of a single all-embracing differentiation for the whole river. . . . [He] quotes Radin (1927) as saying that for the primitive man: “A mountain is not thought of as a unified whole. It is a continually changing entity’ . . . [and, Radin continues, such a man lives in a world that is] ‘dynamic and ever-changing . . . Since he sees the same objects changing in their appearance from day to day, the primitive man regards this phenomenon as definitely depriving them of immutability and self-subsistence’ (Werner 1957).
Langer (1942) has called the symbolic-making function ‘one of man’s primary activities, like eating, looking, or moving about. It is the fundamental process of his mind’, she says, as she terms the need of symbolization ‘a primary need in man, which other creatures probably do not have’. Kubie (1953) terms the symbolizing capacity ‘the unique hallmark of man . . . capacities’, and he states that it is in impairment of this capacity to symbolize that all adult psychopathology essentially consists.
As for schizophrenia, we find that since 1911 this disease was described by Bleuler (1911) as involving an impairment of the thinking capacities, and in the thirty years many psychologists and psychiatrists, including Vigotsky (1934) Hanfmann and Kasanin (1942) Goldstein (1946) Norman Cameron (1946) Benjamin (1946) Beck (1946) von Domarus (1946) and Angtal (1946)-to mention but a few-has described various aspects of this thinking disorder. These writers, agreeing that one aspect of the disorder consists in over -concreteness or literalness of thought, have variously described the schizophrenic as unable to think in figurative (including metaphorical) terms, or in abstractions, or in consensually validated concepts and symbols, mor in categorical generalizations. Bateson (1956) described the schizophrenic as using metaphor, but unlabelled metaphor.
Werner (1940) has understood this most accurately matter of regression to a primitive level of thinking, comparable with the found in children and in members of so-called primitive cultures, a level of thinking in which there is a lack of differentiation between the concrete and the metaphorical. Thus we might say that just as the schizophrenic is unable to think in effective, consensually validated metaphor, as too as he is unable to think in terms that are genuinely concrete, free from an animistic forbear of a so-called metaphorical overlay.
The defensive function of the dedifferentiation that in so characterized of schizophrenic experience, and one find that this fragmentation o experience, justly lends itself to the repression of various motions that are too intense, and in particular too complex, for the weak ego to endure, which must be faced as one becomes aware of change as involving continuity rather than total discontinuity.
That is, the deeply schizophrenic patient who, when her beloved therapist makes a unkind or stupid remark, experiences him now for being a different person from the one who was there a moment ago-who experiences that a Bad Therapist has replaced the Good Therapist-is by that spared the complex feeling of disillusionment and hurt, the complex mixture of love and anger and contempt that a healthier patient would feel then. Similarly, if she experiences it in tomorrow’s session-or even later in the same session-that another good therapist has now come on the scene. The bad therapist is now totally gone, she will feel none of the guilt and self-reproach that a healthier patient would feel at finding that this therapist, whom she has just now been hated or despising, is after all a person capable of genuine kindness. Likewise, when she experiences a therapist’s departure on vacation for being a total deletion of him from her awareness, this bit of discontinuity, or fragmentation, in her subjective experience spars her from feeling the complex mixture of longing, grief, separation-anxiety, rejection, rage and so on, which a less ill patient feels toward a therapist who is absent but of whose existence he continues to be only too keenly aware.
Finally, such repressed emotions as hostility and lust may readily be seen, as these feelings not easy to hear expressed, as, for instance, the woman, who, at the beginning of her therapy, had been encased for years I flint lock paranoid defenses, become able to express her despair by saying that “If I had something to get well for, it would make a difference,” her grief, by saying, “The reason I am afraid to be close to people is because I feel so much like crying”: Her loneliness, by expressing a wish that she would turn an insect into a person, so then she would have a friend. Her helplessness in face of her ambivalence by saying, to her efforts to communicate with other persons, “I feel just like a little child, at the edge of the Atlantic or Pacific Ocean, trying to build a castle-right next to the water. Something just starts to be gasped [by the other person], and then bang! It has gone-another wave. As joining the mainstream of fellow human beings.
In the compliant charge of bringing forward three hypotheses are to be shown, they're errelated or portray in words as their interconnectivity, are as (1) in the course of a successful psychoanalysis, the analyst goes through a phase of reacting to, and eventually relinquishing, the patient as his oedipal love-object, (2) in normal personality development, the parent reciprocates the child's oedipal love with greater intensity than we have recognized before, and (3) in such normal developments, the passing of the Oedipus complex is at least important a phase in ego-development as in superego-development.
While doing psycho-analysis, time and again patients who have progressed to, or very far toward, a thorough going analysis to cure, become aware of experiential romantic and erotic desires and fantasies. Such fantasizing and emotions have appeared in a usual but of late in the course of treatment, have been preset not briefly but usually for several months, and have subsided only after having experienced a variety of feelings-frustration, separation anxiety, grief and so forth-entirely akin to those that attended as the resolution of an Oedipus complex late in the personal analysis.
Psycho-analysis literature is, in the main. Such as to make one feel more, rather than less, troubled at finding in oneself such feelings toward one's patient. As Lucia Tower (1956) has recently noted, . . . Virtually every writer on the subject of countertransference . . . states unequivocally that no form of erotic reaction to a patient is to be tolerated . . .
Still, in recent years, many writers, such as P. Heimann (1950), M. B. Cohen (1952) and E. Weigert (1952, 1954), have emphasized how much the analyst can learn about the patient from noticing his own feelings, of whatever sort, in the analytic relationship. Weigert (1952), defining countertransference as emphatic identification with the analysand, has stated that . . . "In terminal phases of analyses the resolution of countertransference goes hand in hand with the resolution of transference."
Respectfully, these additional passages are shown in view of countertransference, in the special sense in which defines the analyst for being innate, inevitable ingredients in the psycho-analytic relationship, in particular, the feelings of loss that the analyst experiences with the termination of the analysis. However, case in point, that the particular variety of countertransference with which are under approach is concerned that of the analyst's reacting as a loving and protective parent to the analysand, reacted too as an infant: There are plausible reasons why in the last phase it is especially difficult to achieve and maintain analytic frankness. The end of analysis is an experience of loss that mobilizes all the resistances in the transference (and in the counter-transference too), for a final struggle. . . . Recently, Adelaide Johnson (1951) described the terminal conflict of analysis as fully reliving the Oedipus conflict in which the quest for the genitally gratifying parent is poignantly expressed and the intense grief, anxiety and wrath of its definitive loss are fully reactivated. . . . Unless the patient dares to be exposed to such an ultimate frustration he may cling to the tacit permission that his relation to the analyst will remain his refuge from the hardships of his libidinal cravings to an aim-inhibited, tender attachment to the analyst as an idealized parent, he can get past the conflicts of genital temptation and frustration.
. . . . The resolution of the counter-transference permits the analyst to be emotionally freer and spontaneous with the patient, and this is an additional indication of the approaching end of an analysis.
. . . . When the analyst observes that he can be unrestrained with the patient, when he no longer weighs his words to maintain as cautious objectivity, this empathic countertransference and the transference of the patient are in a process of resolution. The analyst can treat the analysand on terms of equality; he is no longer needed as an auxiliary superego, an unrealistic deity in the clouds of detached neutrality. These are signs that the patient's labour of mourning for infantile attachments nears completion.
In stressing the point, which before an analysis can properly bring to an end, the analyst must have experienced a resolution of his countertransference to the patient for being a deep beloved, and desired, figure not only on this infantile level that Weigert has emphasized valuably, but also on an oedipal-genital level. Weigeret's paper, which helped to formulate the views that are set down, that is, as expressing the total point that a successful psycho-analysis involves the analyst's deeply felt relinquishment of the patient both as a cherished infant, and for being a fellow adult who is responded to at the level of genital love?
The paper by L. E. Tower (1956) comes similarly close to the view that, unlike Weigert, limits the term counter-transference to those phenomena that are transferences of the analyst to the patient. It is much more striking, therefore, that she finds even this classification defined countertransference to be innate to the analytic process: . . . . That there is inevitably, naturally, and often desirable, many countertransference developments in every analysis (some evanescent-some sustained), which is a counterpart of the transference phenomena. Interactions (or transactions) between the transference of the patient and the countertransference of the analyst, going on at unconscious levels, may be-or perhaps are always-of vital significance for the outcome of the treatment. . . .
. . . . Virtually every writer on the subject of countertransference. States unequivocally that no form of erotic reaction to a patient is to be tolerated. This would suggest that temptations in this area are great, and perhaps ubiquitous. This is the one subject about which almost every author is very certain to state his position. Other 'counter-transference' manifestations are not routinely condemned. Therefore, it must be to assume that erotic responses to some extent trouble nearly every analyst. This is an interesting phenomenon and one that call for investigation; nearly all physicians, when they gain enough confidence in their analysts, report erotic feelings and imply toward their patients, but usually do so with a good deal of fear and conflict. . . .
Of our tending purposes, we are to pay close attention to the libidinal resources that are of our applicative theory, in that large amounts of resulting available libido are necessary to tolerate the heavy task of many intensive analyses. While, we deride almost every detectable libidinal investment made by an analyst in a patient . . . various forms of erotic fantasy and erotic countertransference phenomena of a fantasy and of an affective character are in some experiential ubiquitous and presumably normal. Which lead to suspect that in many-perhaps every-intensive analytic treatment there develops something like countertransference structures (perhaps even a 'neurosis') which are essential and inevitable counterparts of the transference neurosis. These countertransference structures may be large or small in their quantitative aspects, but in the total picture they may be of considerable significance for the outcome of the treatment. They function in the manner of a catalytic agent in the treatment process. Their understanding by the analyst may be as important to the final working through of the transference neurosis as is the analyst's intellectual understanding of the transference neurosis itself, perhaps because they are, so to speak, the vehicle for the analyst's emotional understanding of the transference neurosis. Both transference neurosis and countertransference structure seem intimately bound together in a living process and both must be considered continually in the work that is the psychoanalysis. . . .
. . . . Seemingly questionable, is any thorough working through a deep transference neurosis, in the strictest sense, which does not involve some form of emotional upheaval in which both patient and analysts are involved. In other words, there are both a transference neurosis and a corresponding Countertransference 'neurosis' (no matter how small and temporary) which are both analyzed in the treatment situation, with eventual feelings of a new orientation by both one another toward any other but themselves.
Freud, in his description of the Oedipus complex (1900, 1921, 1923), tended largely to give us a picture of the child as having an innate, self-determined tendency to experience, under the conditions of a normal home, feelings of passionate love toward the parent of the opposite sex; we get little hints, from his writings, that in this regard the child enters a mutual relatedness of passionate love with that parent, a relatedness in which the parent's feelings may be of much the same quality and intensity as those in the child (although this relatedness must be very important in the life of the developing child than it is in the life of the mature adult, with his much stronger, more highly differentiated ego and with his having behind him the experience of a successfully resolved oedipal experience during his own maturation).
Nevertheless, in the earliest of his publications concerning the Oedipus complex, namely The Interpretation of Dreams (1900), Freud makes a fuller acknowledgements of the parent's participation in the oedipal phase of the child's life than does in any of his later writings on the subject". . . a child's sexual wishes-if in their embryonic stage they deserve to be so described-awaken very early. . . . A girl's first affection is for her father and boy's first childish desires are for his mother. Accordingly, the father becomes a disturbing rival to the boy and the mother to the girl. The parents too give evidence as a rule of sexual partiality: A natural predilection usually sees to it that a man tends to spoil his little daughters, while his wife takes her sons' part; though both of them, where their judgement is not disturbed by the magic of sex, keep a strict eye upon their children's education. The child is very well aware of this patriality and turns against that one of his parents who is opposed to showing it. Being loved by an adult does not merely bring a child the satisfaction of a special need; it also means that he will get what he wants in every other respect as well. Thus, he will be following his own sexual instinct and while giving fresh strength to the inclination shown by his parents if his choice between them falls in with theirs (1900).
Theodor Reik, in his accounts of his coming to sense something of the depths of possessiveness, jealousy, fury at rivals, and anxiety in the face of impending loss, in himself regarding his two daughters, conveys a much more adequate picture of the emotions that genuinely grip the parent in the oedipal relationship than is conveyed by Freud's sketchy account, as Reik's deeply moving descriptions occupy a chapter in his Listening with the Third Ear (1949), written at the time when his daughters were twelve and six years of age; and a chapter in his The Secret Self (1952), when the oldest daughter was now seventeen.
Returning to a further consideration of the therapist's oedipal-love responses to the patient, it seems that these response flows from four different sources. In actual practice the responses from these four tributaries are probably so commingled in the therapists that it is difficult of impossible fully to distinguish one kind from another; the important thing is that he is maximally open to the recognition of these feelings in himself, no matter what their origin, for he can probably discern, in as far as is possible, from where they flow they signify, therefore, concerning the patient's analysis.
First among these four sources may be mentioned the analyst's feeling-responses to the patient's transference. This, when, as the analysis progresses and the patient enter an experiencing of oedipal love, ongoing, jealousy y, frustration and loss as for the analyst as a parent in the transference, the analyst will experience to at least some degree, response's reciprocally th those of the patient-responses, that is, such for being present within the parent in questions, during the patient's childhood and adolescence, which the parent presumably was not ably to recognize freely and accept within himself. Some writers apply the term 'counter-transference' to such analyst-responese to the patient's transference, unlike others some do not do so.
The second source consists in the countertransference in the classical sense in which this term is most often used: The analyst's responding to the patient about transference-feelings carried over from a figure out of the analyst 's own earlier years, without awareness that his response springs predominantly from this early-life, rather than being based mainly upon the reality of the patient analyst-patient relationship. It is this source, of course, which we wish to reduce to a minimum, by means of thoroughgoing personal analysis and ever-continuing subsequent alertness for indications that our work with a patient has come up against, in us, unanalyzed emotional residues from our past. This source is so very important, in fact, as to make the writing of such a paper as a somewhat precarious venture. Must expect that some readers will charge him with trying to portray, as natural and necessary to the annalistic process generally, certain analyst-responese that in actuality is purely the result of an unworked-through? Oedipus' complex in himself, which are dangerously out of place in his own work with patients that have no place in the well-analysed analyst's experience with his patient.
It can only be surmised that although this source may play an insignificant role in the responses of a well-analysed analyst who has conducted many analyses through to completion-to an intensified inclusion as a thoroughgoing resolution of the patient's Oedipus complex-it is probably to be found, in some measure, in every analyst. This is, it seems that the nature and conflictual feeling-experience in this regard-a fostering of his deepest love toward the fellow human being with whom she participates in such prolonged and deeply personal work, and a simultaneous, unceasing, and rigorous taboo against his behavioural expression of any of the romantic or erotic components of his love-as to require almost any analyst's tending to relegate the deepest intensities of these conflictual feelings to his own unconscious mind, much as were the deepest intensities of his oedipal strivings toward a similar beloved, and similarly unobtainable and rigorously tabooed, parent in particular, and in the hope of the remaining in the analyst's unconscious. That is hoping that this will help analysts-in particular, to a lesser extent-experienced analyst-whereas to some readers awareness, and by that diminution, of this countertransference feeling, as justly dealing with other kinds of countertransference feelings, by such as those wrote by P. Heumann (1950, M. B., Cohen (19520 and E. Weigert (1952?)
A third source is to be found in the appeal that the gratifyingly improving patient makes to the narcissistic residue in the analyst's personality, the Pygmalion in him. He tends to fall in love with this beautifully developing patient, regarded at this narcissistic level as his own creation, just as Pygmalion fell in love with the beautiful statu e of Galatea that he had sculptured. This source, like the second one that we can expect to holds little sways in the well-analysed practitioner of long experience, but it, too, is probably never absent of great experience and professional standing, than we may like to think. Particularly in articles and books that describe the author's new technique or theoretical concept as an outgrowth of the work with a particular patient, or a very few patients, do we see this source very prominently present in many instances.
The fourth source, based on the genuine reality of the analyst-patient situation, consists in the circumstance that nearly becomes, per se, a likeable, admirable and insightfully speaking lovable, human being from whom the analyst will soon become separated. If he is not himself a psychiatrist, the analyst may very likely never see him again. Even if he is a professional colleague, the relationship with him will become in many respects far more superficial, far less intimate, than it has been. This real and unavoidable circumstance of the closing analytic work tends powerfully to arouse within the analyst feelings of painfully frustrated love that deserve to be compared with the feelings of ungratifiable love that both child and parent experience in the oedipal phase of the child's development. Feelings from this source cannot properly be called countertransference. They may flow from the reality of the present circumstances but they may be difficult or impossible e to distinguish fully from countertransference.
There are, then four essentially powerful sources having to promote of the tendency toward the feelings of deep love with romantic and erotic overtones, and with accompanying feelings of jealousy, anxiety, frustration-rage, separation-anxiety, and grief, in the analyst about the patient. These feelings come to him, like all feelings, without tags showing from where they have come, and only if he is open and accepting to their emergence into his awareness does he have a chance to set about finding out their origin and thus their significance in his work with the patient.
Finally, with which the considerations have been presented so far, a few remarks concerning the passing of the Oedipus complex in normal development and in a successful psycho-analysis.
In the Ego and the Id (1923) we find italicized a passage in which Freud stresses that the oedipus phase results in the formation of the superego; we find that he stresses the patient's opposition to ther child's oedipal swosh, and lastly, we see this resultant suprerego to be predominantly a severe and forbidding one: The broad general outcome of the sexual phase dominated by the Oedipus complex may, therefore, be taken to be the forming of a precipitating in the ego . . . This modification of the ego
. . . comforts the other contents of the ego as an ego ideal or super-ego.
. . . . The child's parents, and especially his father, were perceived as the obstacle to verbalizations of his Oedipus wishes, so his infantile ego fortified itself for the carrying out of the repression by building this obstacle within itself. It borrowed the strength to do this, so to seek, from the father, and this loan was an extraordinarily nonentous act. The super-ego retains the character of the father, while the more powerful the Oedipus complex was and the more rapid succumbed to repression (under the influence of authority, religious teachings, schooling and reading), this strictly will be the domination of the super-ego over the ego later on-as conscience or perhaps of an unconscious sense of guilt. . . .
The subject dealt within the subjective matter through which generative pre-oedipal origins are to be found of the superego, on which has been dealt by M. Klein (1955). E. Jacobson (1954) and others, also apart from that subject, a regard for Freud's above-quoted description as more applicable to the child who later becomes neurotic or psychotic, than to the 'normal'; child. Since we can assume that there is virtually a wholly complimentary neurotic difficulty, we may then have in assuming that Freud's formation holds true to some degree in every instance. Still, to the extent that a child's relationships with his parents are healthy, he finds the strength to accept the unrealizibilityy of his oedipal strivings, not mainly through the identification with the forbidding rival-parent, but mainly, as an alternative, the ego-strengthening experiences of finding the beloved parent reciprocate his love-responds to him, that is, for being a worthwhile and loveable individual, for being, a conceivably desirable love-partner-and renounces him only with an accompanying sense of loss on the parent's own part. The renunciation, again, something that is mutual experience for the chid and parent, and is made in deference to a recognizedly greater limiting realty, a reality that includes not only the taboo maintained by the rival-parent, but also the love of the oedipal desired parent toward his or her spouse-a love that undeterred the child's birth and a love to which, in a sense, he owes his very existence?
Out of such an oedipal situation the child emerges, with no matter how deep and painful sense of loss at the recognition that he can never displace the rival-parent and posses the beloved on e in a romantic-and-erotic relationship, in a state differently from the ego-diminished, superego-domination state that Freud described. This child that his love, however unrealized, is reciprocated. Strengthened, too, out of the realization, which his relationship with the beloved parent has helped him to achieve, that he lives in a wold in which any individual's strivings are encompassed by a reality much larger than he: Freud, when he stressed that the oedipal phase normally results mainly in the formations of a forbidding superego, and if it is resulting mainly in enchantments of the ego's ability to test both inner and outer reality.
All experiences with both neurotic and psychotic patients had shown that, in every individual instance, in as far as the oedipal phase was entered the course of their past elements, it led to ego impairment rather than ego functioning as primarily because the beloved parent had to repress his or her reciprocal desire for the child, chiefly through the mechanism of unconscious denial of the child's importance to the parent. More often than not, in these instancies, that suggested that the parent would unwittingly act out his or her repressed desires in the unduly seductive behaviour toward the child; yet whenever the parents come close to the recognition of such desires within him, he would unpredictably start reacting to the child as unlovable-undesirable.
With many of these parents, appears that, primarily because of the parent's own unresolved Oedipus complex, his marriage proved too unsatisfying, and his emotional relationship to his own culture too tenuous, for him to dare to recognize the strength of his reciprocal feelings toward his child during the latter's oedipal phase of development. The child is reacting too as a little mother or father transference-figure to the parent, a transference-figure toward whom the parent's repressed oedipal love feelings are directed. If the parent had achieved the inner reassurance of a deep and enduring love toward his wife, and a deeply felt relatedness with his culture including the incest taboos to which his culture adheres, he would have been able to participate in as deeply felt, but minimally acted out, relationship with the chid in a way that fostered the healthy resolutions of the child's Oedipus complex. Instead, what usually happens in such instances, in that the child's Oedipus complex remains unresolved because the child stubbornly-and naturally-refuses to accept defeat within these particular family circumstances, whereas the acceptance of oedipal defeat is tantamount to the acceptance of irrevocable personal worthlessness and unlovability.
It seems much clearer, then this former child, now neurotic or psychotic adult, requires from us for the successful resolution to his unresolved Oedipus complex: Not such a repression of desire, acted-out seductiveness, and denial of his own worth as he met in the relationship with his parent, but a maximal awareness on our part of the reciprocal feelings while we develop in response to his oedipal strivings. Our main job remains always, of course, to further the analysis of his transference, but what might be described seems to be the optimal feeling background in the analyst for such analytic work.
Formidably, when applied not to a moderate degree found in the background of the neurotic person but invested with all the weight of actual biological attributes, have much ado with the person's unconscious refusal to relinquish, in adolescence and young adulthood, his or her fantasied infantile omnipotence in exchange for a sexual identity of-in these-described terms-a 'man' or a 'woman'. It would be like having to accept only certain dispensations as well as salvageable sights, if ony to see the whole fabric ruined into the bargin. A person cannot deeply accept an adult sexual identity until he has been able to find that this identity can express all the feeling-potentialities of his comparatively boundless infancy. This implies that he has become able to blend, for example, his infantile-dependent needs into his more adult erotic strivings, than regard these as mutually exclusive in the way that the mother of the future patient or the persons infant frighteningly feels that her lust has been placed in her mothering. Another difficult facet of this situation resides in a patient's youngful conviction, based on his intrafamiliar experiences, which he can win parental love only if he can become or, perhaps, at an unconscious level remain-a girl; accepting her sexuality as a woman is equated with the abandonment of the hope of being loved.
Concerning the warped experiences their persons have and with the oedipal phase of development, calls to our attention of two features. First, the child whose parents are more narcissistic than truly object-related in faced with the basically hopeless challenge of trying to compete with the mother's own narcissistic love for herself, and with the father's similar love for himself, than being presented with a competitive challenge involving separate, flesh-and-blood human beings. Secondly, concerning warped oedipal experiences, in, as far as the parents succeeded in achieving object-relatedness, this has often become only weakly established as a genital level, so that it remains much more prominently at the mother-infant level of ego-development. Thus, the mother, for example, is much more able to love her infant son than her adult husband, and the oedipal competition between husband and son are in terms of who can better become, or remain, the infant whom the mother is capable of loving. When the infant becomes chronologically a young man, having learned that one wins a woman not through genial assertiveness but through regression, he is apt to shy away from entering into true adult geniality, and is tempted to settle for what amounts to 'regressive victory' in the oedipal struggle
We write much about the analyst’s or therapist’s being able to identify or empathize with the patient for helping in the resolution of the neurotic or psychotic difficulties. Such writings always portray a merely transitory identification, an empathic sensing of the patient’s conflicts, an identification that is of essentially communicative value only. However, it should be seen that we inevitably identify with the patient another fashion also, we identify with the healthy elements in him, in a way that entails enduing, constructive additions to our own personality. Patients-above all schizophrenic patients-need and welcome our acknowledgement, simply and undemonstratively, that they have contributed, and are contributing, in some such significant way, to our existence.
Increasing maturity involves increasing ability not merely to embrace change in the world around one, but to realize that one is oneself in a constant state of change. By contrast, the recovering, maturing patiently becomes less and less dependent upon any such sharply delineated, static self-image or even a constellation of such images, the answer to the question, “Who are you?” is almost as small, solid, and well defined as a stone, but is a larger, fluid, richly-laden, and sniffingly outlined as an ocean? As the individual becomes well, he comes to realize that, as Henri Bergson (1944) outs it, “reality is a perpetual growth, a creation pursued without end. . . . A perpetual becoming,” and to the extent that he can actively welcome change and let it become part of him, he comes to know that-again in Bergson’s phrase-“to exist is to change, to change is too mature, to mature is to go on creating oneself endlessly
February 19, 2010
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