THE OUTLOOK OF TRANSFERENCE
RICHARD J.KOSCIEJEW
Freud’s awareness of the actuality of transference phenomena - that is, of the development in the patient of powerful feelings and wishes toward the therapist learned from Joseph Breuer of the events that occurred in the treatment of Anna O. It was not, however, until the debacle with Dora that the full force of this phenomenon was brought home to him - if not of his own counter-transference feelings as well. Transferences are, Freud said, ‘new editions or facsimiles of the impulses and fantasies aroused and made consciously during the process of the analysis, but they have this peculiarity . . . that they replace some earlier person by the person of the physician’ (Freud, 1905) in ‘Psychoanalytic treatment does not create transference, it merely brings them to light like so many other hidden psychical factors’.
Freud did not again deal in detail with the subject of transference until 1912, in ‘The Dynamics of Transference’. In fact, the first manuscript bound up specifically to the subject was Ferenczi’s ‘Introjection and Transference’ published in 1909. Ferenczi offered an exposition of the topic, drawing its stimulus from Freud’s reference to ‘transference’, in The Interpretation of Dreams about the Dora case. Transference, he stares, is a special case of the mechanism of displacement, is ubiquitous in life but especially pronounced in neurotics, and makes its most explicit appearance in the relationship of patient to the analyst - in or outside the psychoanalysis. He relates the transference to other psychic mechanisms, most particularly projection and introjection, and defends the psychoanalysis against accusations of improperly generating transference reactions in its patients. ‘The critics who look on these transferences as dangerous should’, he says, ‘condemn the non-analytic modes of treatment more severely than the psychoanalytic method, since the former really intensifies the transference, while the latter strive to uncover and to resolve them when possible.
It was not until 1912, in The Dynamics of Transference; that Freud returned to the subject, in explaining, about libido economy and, while the topographic model of the mind the inevitable emergence of the transference in the analytic situation and its role as a primary mode of resistence. ;The transference idea has penetrated into consciousness in front of any other possible association because it satisfies the resistance’ - but only if it is a negative, or erotic transference. The analyst’s role is to ‘control’ or ‘remove’ the transference resistance. ‘It is’ Freud says, ‘on th at field that the victory must be won’.
None of Freud’s epochal discoveries - the power of the dynamic unconscious, the meaningfulness of the dream, the universality of intrapsychic conflict, the critical role of repression, the phenomena of infantile sexuality - has been more heuristically productive or more clinically valuable than his demonstration that humans regularly and inevitably repeat with the analyst and with other important figures in their current live pasterns of relationship, of fantasy, and of conflict with the crucial figures in their childhood - primarily their parents.
The transference has become a sort of projectve device, a vessel into which each commentators pour the essence of his or her approach to the clinical situation and to the understanding of that unique immuration process that makes up the analytic situation. The initial combinality (1909-36) that of the pioneers, marches the efforts of Freud and his early followers to grasp and to deal with the powerful phenomenon they were only beginning to recognize and to attempt to understand. The middle period (1936-60) reflects the consolidation of therapeutic technique and the attempt of both European and American analysts to bring the idea of transference into consonance with the increasingly important constructs of ego psychology. In the latest of periods (1960-87), we find a balance between reassertion of traditional views and various revisionist statements and reconsiderations of some classical position.
The productivity of the neurosis (during a course of psychoanalytic treatment) is far from being extinguished, but exercises itself in the creation of a peculiar sort of thought-formation, mostly unconscious, to which the name ‘transference’ may be given.
Despite radical implications for which theory has presented of psychoanalytic techniques and others of the dialectically discoursing involvement, is often without awareness. Where these psychoanalysts disagree in their conceptual reprehended frame of reference, creating the recognitions that the analyst and the patient cannot simply avoid having an impact upon one-another. Even so, that it cannot be removed, by that obstructions form whether we have related this to our deliberate technological interventions or intentional aspects as drawn on or upon the conceptual interactions. As for reasons that are useful and necessary to distinguish between theory of technological analysis, with which interconnectivity can be established through the conjunctive relationships having in relations of what seems allowable for us to expand our knowledge of the complex and subtle factors that account for therapeutic action. This, however, can ultimately become the most effective fight for regaining and developing our understanding of how best to serve ourselves to advance the analytic situation and too aculeate more profound and very acute satisfactions, as depictions in the psychoanalytic encounter, no matter whatever our accountable resultants may be of our therapeutical orientations.
An appreciation of its power of interactive forces addressed in the analytic fields of thought, not only challenges many traditionally held beliefs about the hidden natures of therapeutic actions. However, these take upon the requirement for us to recognize and acknowledge the untenability of the traditional view that analysts can be an object source in the works. They have better to understand it, for example, where patients’ and the analysts may express as a quality that which the analyst is in a possibility of a position to an objective interpreter of the patient’s experiential process. That in this may reflect a form of ‘collusive enactment’ and a convergence of need of both the analyst and the patient so see that the analyst as the authoritarian. If the patient and analyst submit to needs to believe that the analyst is the omniscient other or the benevolent authority, to which one can entrust one’s self-sufficiency, that in having to antecedent cause, is that of existing of itself that is itself self-existent.
As the foundational structure of the relationship might serve to obscure the acknowledging fact that it is involved to encourage the belief that, as one may say, that wherever a coordinate system is complicating and hardness to its plexuities, that its complexity has of recognizing of the mind, such that the immediate ‘indeterminacy’ arises, not necessarily because of some conditional unobtainability, but holds accountably to subjective matters that grow stronger in gathering the right prediction, least of mention, that of many things that are yet to be known. Such that th e stray consequences of studying them will disturb the status quo, and of not-knowing to what influential persuasions do really occur between the protective anatomy, therefore, that our manifesting of awareness cannot accord with the inclinations tat are beheld to what is meant in how. History, is not and cannot be determinate. Thus, the supposed causes may only produce the consequences we expect, this has rarely been more true of those whose thoughts and interactions in psychoanalytic interpretations but the interrelatedness is a way that no dramatist would dare to conceive.
In Winnicott (1969) has noted that there are times when ‘analysers’ can serve as holding operations and become interminable without any real growth occurring.
An attractive perspective helps to clarify ‘why’ sometimes the analysers ‘abstinence’ carries as much risk of negative iatrogenic consequences as carrying out active intervention. Although silence at times obviously can be respectful and facilitating, and yet, at times it can be cruel and sadistic, or it can be based on a fear of engagement, among a host of possible other meanings and equally attributive to distributional dynamic functions.
A strong appreciation of interacted factors also allow us to consider that whatever degree the patient’s perceptions of the analyst are plausible and even valid (Ferenczi 1933, Little 1951, Levenson 1973, Searles 1975, Gill 1982, and Hoffman 1983). This may be due to the patient’s expertise upon the stimulating precessions to this kind of responsiveness in the analyst. The reverse is true as well, although the patient and the analyst each will have some unique vulnerabilities, sensitivities, strengths, and needs, such that we must consider ‘why’ such peculiarities have elated the particular qualities or sensibilities of either patient or the analyst at a given moment and not at others. At any moment the patient that of the analyst might be involved in some kind of collusive enactment (Racker 1957, 1959, Grotstein 1981, and McDougall 1979), they have held that their considerations explain of reasons that posit themselves of why clinicians often seem to practice in ways that contradict their own shared beliefs and therapeutic positions, least of mention, principles by way of enacting to some unfiltered dialectic discourse.
Yet, these differences, which occur within and between the diverse analytic traditions, are that an interactive view of the analytic field has some theoretical and technological implications that bridge all psychoanalytic perceptivity, which each among us cannot ignore. Its premise lies in the fact that we recognize and do acknowledge that the analyst and patient cannot simply avoid having an impact on each other, even if both analyst and the patient are totally silent, requiring that we realize that even if a treatment is productive or successful, we cannot be clear of whether they have related this to our deliberated technological interventions or to aspects of the interaction that has eluded our awareness.
Psychoanalysts’ of diverse orientations increasingly have come to recognize is that the patient and the analysts are continually persuasive and being influenced by each other in a dialectic way, and often without awareness. This has radical implication for abstractive views as drawn on or upon psychoanalytic technique. Where their psychoanalytic philosophes disagree are comprised in the conception of what the specific implications of an interactive view of the analytic fields of thought that it might characterize.
It is, therefore, that distinguishing between its theoretical technique, which is useful and necessary, that relates to what we do with awareness and intention, as a theory of a theoretical action that deals in the accompaniment of our manifesting health and wholeness, that the psychoanalytic interaction has itself, that whether or not is to evolve from our technical and mechanistic forms of technique. The recognition as such, can allow us to expand our knowledge of the complications as set in the complex subtler factors that account for the therapeutic action. This, nonetheless, can ultimately become the most effective basis as a reason or justification for an action or option. That for refining and developing our understanding of how best to use ourselves to advance the analytic work and to simplify more profound and incisive kinds of psychoanalytic engagement, no matter what our therapeutic orientation.
An appreciation for which the power of interactive forces in the analytic subject field, not only challenges many traditionally held beliefs about the hidden dimensions through which times have hidden the nature of therapeutic action, but also requiring us to acknowledge and to recognize the untenability assembling on or upon the relational view that the analyst can be an objective participant in the work? It also helps us to grasp the extent upon which they are presupposed therapeutic interpretations, for example, can be ways of harassing, demeaning, patronizing, impinging on, penetrating or violating the patient, or the particular ways of gratifying, supporting, complying, among several other possibilities. Where the patient and analysts assume that the analyst can be an objective interpreter of the patient’s experience, this may factually reflect a form of collusive enactment and a convergence of the needs, whereof both analyst and the patient can see the analyst as an authoritarian. If the patient and the analyst have needs to believe that the analyst is the omniscient other or the benevolent authority to which one can entrust in one’s favour. The foundational structure of the relationship might serve to obscure recognition of the fact that they are enacting such a drama. In this regard, Winnicott (1969) has marked and noted that, at that point are times when the analyses can serve as holding operations and become interminable, without any real growth occurring.
The contentual meaning of the patient’s free association also has to be reconsidered from an interactive perspective. Usually viewed as the medium of analytic work, as for free association that may, at times be a profound frame of resistance, and to avoid, rather than engage in the analytic process. Alternative measures can reflect with a form of compliance or collusion, for being aware and affected by conscious or insensible of emotion or passion the unconsciousness, from which is held within the analyst’s needs, fears, and resistance.
Yet, the ongoing dialectic discourse of transference and its place in analytic theory and technique, was during the periods of the middle 1936 and 1960, where this period was to relate its phenomenology to the growing understanding of the ‘ego’, both on its defensive and in Hartmann’s terms, ‘autonomous aspects’, to new theories of early development and a growing concern in some quarters with ‘interpersonal’ as opposed too purely ‘intrapsychic’ aspects of personality function. A further stimulus was Alexander’s (1946) advocacy of active role playing by the analyst to send the patient a ‘corrective emotional experience’, at least, in psychoanalytic psychotherapy if not in analysis proper.
In her very practically orientated paper, Greenacre emphasizes the distinction, first shared by Freud, between the analytic transference and that which characterizes other modes of therapy. All manipulation, exploitation, all use of transference for ‘corrective emotional experience’, is excluded from the psychoanalytic situation, which relies exclusively on interpretation to achieve its therapeutic goal. Greenacre‘s view of the analyst’s role in analysis and in the world outside in a relatively austere one: She would preclude the analyst from publically participating in social or political activities that might tend to reveal aspects of the analyst’s person that would contaminate the transference. Like Freud, Stone, and others she distinguishes between ‘basic’, essentially nonconflictual transference derived from the early mother-child relationship and the analytic transference proper, which involves projection (for example, Brenner) challenge this distinction.
It is, however, echoed in Elizabeth Zetzel’s masterful review of what were, at the time of writing, the dominant trends in the field. She proposed, following the usage of Edward Bibring, the idea of the ‘therapeutic alliance’, derived, as was Greenacre’s basic transference, from the positive aspects of the mother-child relationship. Like nearly all other commentators she asserted the centrality of transference interpretation in the analytic process, but she outlines in sharp detail some differences in form and content of such interpretations between Freudian and Klemian analysis - that is, between those who are concerned with the role of the ego and the analysis of defence and those who emphasize the importance of early object relations and primitive instinctual fantasy.
Like Greenacre and Zetzel, Greenson distinguishes between what he calls the ‘working alliance’ and the ‘transference neurosis’. He contends that without the development of the working alliance the transference cannot be analysed effectively. The ‘working alliance’ depends not only on the patient’s capacity to establish adequate object ties and to assess reality. Nevertheless, is that, also on the analyst’s assumption of an attitude that permits such an alliance to emerge. Thus, Greenson advocates an analytic stance that, which of the adhering to the rule of abstinence, allows for more ‘realistic’ gratification and a less austere stance than Greenacre would encourage. Greenson’s definition of transference - that in any case or without exception it always represents a repetition of experience and that it is always ‘inappropriate to the present’ - will later be challenged by Gill, who contends that transference reactions may be appropriate responses to aspects of the psychoanalytic situation of which both patient and analyst is not necessarily aware.
It is, only to mention, that, at the outset, that resistance is, in certain foundational reference, an operational equivalence of defence, its scope is really far larger and more complicated. The thought of its nature and motivation on grounds that resistance in the psychoanalytic process, in using a variety of mechanisms that defy classification in the ways that genetically determine defences derived from important and common developmental progressions, as having a particular direction and character for having a growing tendency to underestimate the potential or strength of that notion, then it may be classified. From falling asleep to a brilliant argument there is a limitless mobility of developmental devices with which the patient may protect the current integration of his personality, including his system of permanent defences. In fact, resistance of a surface, for which a consciously related individual character and educationally cultural background, when presented of itself, are the patient’s first confrontations with a unique and as often puzzling treatment of methodological analysis. While some of these phenomena are continuous with deeper resistance, a closer and perhaps, a balancing sense of equilibrium, held in bondage to some forming mutuality within the continuity that we must meet, for which of others, are at their own level. All the same, it now leaves to a greater extent, the much neglected faculty of informed and reflective common sense, such that to a lesser extent as readily accessible and explicable dynamism that inevitably supervenes in the analytic work, evens though the surface resistance have been largely or wholly mastered. Its submissive providence lay order to a perfect commonality. This, premising with which is the specific type in influence to the immediacy in cultural climatically stressed of the general attitude of many young people (Anna Freud 1968) toward the psychoanalytic process and its goals.
However, an important factor responsible for the neglect of the theory of transference was the early preoccupation of analysis with showing the various mechanisms involved in transference. Interest in the genesis of transference was sidetracked by focussing research on the manifestations of resistance and the mechanisms of defence. These mechanisms and often explained the phenomenon of transference, and their operation was taken to explain its nature and occurrence.
What is more, is that, the neglect of this subject may in part be the result of the personal anxieties of analysts. Edward Glover comments on the absence of open discussion about psychoanalytic technique, and considers the possibility of subjective anxieties: . . .’this seems more likely in that so much technical discussion centres round th e phenomena of transference and counter-transference, both positive and negative. There may in addition the pinnacle of an unconscious attempt to avoid any active ‘interference’ or, more exactly, to remove any suspicion of methods reminiscent of the hypnotist.
That is saying, that there is no consensus about the use of the term ‘transference’ which is called variously ‘the transference’, ‘a transference’, ‘transferences’, ‘transference state’ and sometimes as ‘analytical rapport’.
Does transference embrace the whole affective relationship between an analyst and the patient, or the more restricted ‘neurotic transference’ manifestation? Freud used the term in both senses. To this fact, Silversberg recently drew attention to, and argued that transference should be limited to ‘irrational’ manifestations, maintaining that if the patient says ‘good morning’ to his analyst including such behaviour under the term transference is unreasonable. The contrary view is also expressed: That transference, after the opening stage, is everywhere, and the patient’s every action can be given a transference interpretation.
Can transference be adjusted to reality, or are transference and reality mutually exclusive, so that some action can only be either the one or the other, or can they coexist so that behaviour in accord with reality can be given a transference meaning as in forced transference interpretations? Alexander comes to the conclusion that they are, . . . truly mutually exclusive, just as the more general notion ‘neurosis’ is quite incompatible with that of reality adjusted behaviour.
Our next query arises from one special aspect of transference, that of ‘acting out‘ in analysis. Freud introduced the term ‘repetition compulsion’ and he says, ‘during a patient in analysis . . . it is plain that the compulsion too repeated in analysis the occurrence of his infantile life disregards in every way the pleasure principle’. In a comprehensive critical survey of the subject, Kubie comes to the conclusion that the whole conception of a compulsion to repeat for the sake of repetition is of questionable value as a scientific idea, and were better eliminated. He believes the conception if a ‘repetition compulsion’ involves the disputed death instinct, and that the term is used in psychoanalytic literature with such widely differing connotations that it has lost most, if not all, of its original meaning. Freud introduced the term for the one variety of transference reaction called ‘acting out’, but it is, in fact, applied to all transference manifestations. Anna Freud, defines transference as,‘ . . . all those impulses experienced by the patient in his relation with the analyst that are not newly created by the objective analytic situation but have their sources in early . . . relations and are now merely revived under the influence of the repetition compulsion. Ought, then, the term ‘repetition compulsion’ be rejected or retained and, if retained, is it applicable to all transference reactions, or to acting out only?
This leads to the question of whether transference manifestations are essentially neurotic, as Freud most often maintains: ‘The striking peculiarity of neurotic to develop affectionately and hostile feelings toward their analyst are called ‘transference’. Other authors, however, treat transference as an example of the mechanism of displacement, and hold it to be a ‘normal’ mechanism. Abraham considers a capacity for transference identical with a capacity for adaptation that ‘sublimated sexuality; transference’, and he believes that the sexual impulse in the neurotic is distinguishable from the normal only by as excessive strength. Glover states: ‘Accessibility to human influence depends on the patient’s capacity to establish transference, i.e., to repeat in current situations . . . altitudes develop in early family life’. Is transference, then, a consequent to trauma, conflict and repression, and so exclusively neurotic, or is it normal?
In answer to the question, is transference rational or irrational, Silverberg maintains that transference should be defined as something having the two essential qualities that it be ‘irrational and disagreeable to the patient’. Fenichel agrees that transference is bound up with the fact that a person does not react rationally to the influence of the outer world’. Evidently, no advantage or clarification of the term ‘transference’ has followed its assessment as ‘rational’ or otherwise. Unfortunately, the antithesis, ‘rational’ versus ‘irrational’, was introduced, as it was precisely the psychoanalysis that explained that rational behaviour can be traced to ‘irrational’ roots. What is transferred? : Affects, emotions, ideas, conflicts, attitudes, experiences? Freud says only effect of love and hate is included; but Glover finds that ‘Up to date (1937) discussion of transference was influenced for the most part by the understanding of one unconscious mechanism only, that of the displacement, and he concludes that an adequate conception of transference must reflect all the individuals’ development . . . ,. He displaces onto the analyst, not merely effectual acceptation of ideas but all he has ever learned or forgotten throughout his mental development. Are these transferred to the person of the analyst, or also to the analytic situation, is extra-analytic behaviour to be classed as transference?
Our positive and negative transference felt by the analyst to be an intrusive foreign body, as Anna Freud states in discussing the transference of libidinal impulses, or are they agreeable to the patient’s, a gratification as great that they serve as resistance: Alexander concludes that transference gratifications are the greatest source of unduly prolonging analysis, he reminds us that whereas Freud initially had the greatest difficulty in persuading his patients to continue analysis, he soon had equally greater difficulty in persuading them to give up.
Freud divides positive transference into sympathetic and positive transferences, as the relation between the two is not clearly defined, and sympathetic, or remain distinct, is sympathetic transference resolved with positive and negative transference? Debates concerning the importance of positive transference at the beginning of analysis and carrier of the whole analysis have largely been revived among child analyses. As this has extended to the question of whether or not a transference neurosis in children is desirable or even possible. While this dispute touches on the fundament of psychoanalytic theory, the definitions offered as a basis for the discussion are not very precise.
In the face of such divergent opinions on the hidden nature and manifestations of transference, one might expect several hypotheses and opinions about how these manifestations come about. Nevertheless, this is not so. On the contrary, there is the earliest approach to full unanimity and accord throughout the psychoanalytic literature on this point. Transference manifestations are held to arise within the patient’s spontaneously. ‘This peculiarity of the transference is not, therefore, says Freud, ‘to be placed to the account of psychoanalysis treatment, but is to be ascribed to the patient’s neurosis itself’. Elsewhere he states, ‘In every analytic treatment the patient develops, without any activity by the analyst, an intense affective relation to him . . . It must not be assumed the analysis produces the transference . . . ,. The psychoanalytic treatment does not produce the transference, it only unmasks it’. Ferenczi, in discussing the positive and negative transference says: ‘ . . . and it has particularly to be stressed that this process is the patient’s own work and is hardly ever produced by the analyst’. Analytical transference appears spontaneously; the analysts need only take care not to disturb this process. Rado states, ‘The analysis did not deliberately set out to affect this new artificial formation [the transference neurosis]: He merely observed that such a process took place and forthwith made use of it for his own purpose’. Freud further states, ‘The fact of the transference appearing, although neither wanted nor induced by either the analyst or the patient, in every neurotic who comes under treatment . . . has always seemed . . . proof that the source of the propelling forces of neurosis lies in the sexual life.
There is, however, a reference by Freud from which one has to infer that he had in mind another factor in the genesis of transference apart from spontaneity - in fact, some outside influence: The analyst ‘must recognize that the patient’s falling in love is induced by the analytic situation . . .’ He [the analyst] has evoked this love by undertaking analytic treatment to cure the neurosis, for him, it is an unavoidable consequence of a medical situation . . . Freud did not amplify or specify what importance he attached to this causal remark.
Anna Freud states that the children’s analysis has to woe the little patient to gain its love and affection before analysis can go on, and she says, parenthetically, that something similar takes place in the analysis of adults.
Another reference to the effect those transference phenomenons are not completely spontaneous is found in as statement by Glover, summarizing the effects of inexact interpretation. He says that the artificial phobic and hysterical formation resulting from incomplete or inexact interpretations is not an entirely new conception. Hypnotic manifestations had long been considered as induced hysteria and Abraham considered that states of autosuggestions were induced obsessional systems. He continues, ‘ . . . and, of course, the induction or development of a transference neurosis during analysis is regarded as an integral part of the process’. One is entitled from the context to assume that Glover commits himself to the view that some outside factors are operative which induce the transference neurosis. Still, it is hardly a coincidence that it is no more than a hint.
A few remarks about clinical considerations are the transference nauseosus, and the problem of transference interpretation, may be offered at this point. The whole situational structure of analysis (in contrast with other personal relationships), its dialogue of free association and interpretation, and its deprivations too most ordinary cognitive and emotions’ interpersonal striving tends toward the separation of discrete transferences from their synthesis with one another and with defences, in character or symptoms, and with deepening regression, toward the re-enactment of the essentials of the infantile neurosis, in the transference neurosis. In other relationships, the ‘exchange of ideas’ expression - gratifying, aggressive, punitive or otherwise is actively responsive, and the open mobility of search for alternative or greater satisfaction - exert a profound dynamic and economic influence, so that only extraordinary situations, or transference of pathological character, or both, occasion comparable regression.
If we, in considering the function of the transference in the analytical process, one is confronted by the apparent naïve, but nonetheless important question of the role of the actual (current) objects as compared with that of the object representation of the original personage in the past. We recall Freud’s paradoxical, somewhat gloomy, but portentous concluding passage in ‘The Dynamics of Transference’. This struggle between the doctor and the patient, between intellect and instinctual life, between understanding and seeking to act, is played out almost exclusively in the phenomenon of transference. It is on that field that the victory must be won - the victory whose expression is the permanent cure of the neurosis. It cannot be disputed that controlling the phenomena of transference presents the psychoanalysis with the greatest difficulties. However, it should be forgotten that they do us the inestimable service of making the patient’s hidden and forgotten erotic impulses immediate and manifest. For when all is said and done, destroying anyone in the absentia is impossible or in effigy.
Both object and representations are made necessary by the basic phenomenon of original separation. Even so, the existence of an image of the object, which persists without that object, is one important beginning of psychic life overall, certainly an indispensable prerequisite for object relationship, as generally considered. Whether this is viewed as (or at times demonstrable is) a wavering of introjects, which is always subject to alternative projection, or an intrapsychic object representation clearly distinguished from the self representation, or a firm identification in the superego, or in the ego itself, these phenomena are in various ways components of the system of mastery of the fact of separation, or separateness, from the originally absolutely necessary anaclitic or (in the earliest period) symbiotic ‘object’. In the light of clinical observation, it may be the relative stable (parental) object representation, at times drawing to varying degree on the more archaic phenomena, at moments, even in nonpsychotic patients, overwhelmed by them, sometimes a restoration from oedipal identification, which provides the preponderant basis for most demonstrable analytic transference, in neurotic patients. The transference is effectively established when this representation invests the analyst to a degree - depending on intensity of drive and mode of ego participation - which ranges from wishing and striving to remake the analyst, to biassed judgments and misinterpretations of data, finally in actual perceptual distortion.
However, richly and vividly the old object representation as such may be invested, however rigidly established the libidinal or aggressive cathexis if the image may be, his as such can become the actual and exclusive focus of full instinctual discharge, or of complicated and intense instinct-defence solution, only in states of extreme pathological severity. This is consistent with the usual and general energy-sparing quality of strictly intrapsychic processes. For the vast majority of persons, viable to a degree, including those with severe neurosis, character distortions, addictions, and certain psychoses, the striving is toward the living and actual object, even at the expense of intense suffering. In a sense, this returns us to the beginning, to the state in which the psychological ‘object-to-be’ (if you prefer) has to a grater extent of critical immensity never to be duplicated but in certain acute life emergence, even if the object is not firmly perceived as such, in the sense of later object relations. It does seem those trace impressions from the realistic contacts in the service of life preserving, and the associated instinctual gratifications, and innumerable secondarily associated sensory impressions, are vaster by the specific inborn urges of sexual maturation. There propels the individual to renew many earliest modes of actual bodily contact, about seeking specific instinctual gratification, or, to look away from clear-out instinctual matters to the more remote elaborations of human contact: Few regard loneliness as other than a source of suffering, even self-imposed, as an apparent matter of choice, and the forcible position of ‘solitary confinements’ is surely one of the most cruel of punishment.
Interpretation, recollection or reconstruction, and, of course, working through, is essential for the establishment of effective insight, but they cannot operate mutatively if applied only to memories of the strict sense, whether of highly cathected events or persons. For it is the thrust of wish or impulse or the elaboration of germane dynamic fantasies, and the corresponding defensive structure and their inadequacies, associated with such memories, which produce neurosis. It is a parallel thrust that creates the transference neurosis. Where memories are clear and vivid, through recall, or accepted as much through reconstruction, and associated with variable, optional, and adaptive, rather than rigidly ‘structuralized’ response patterns, the analytic work has been done.
This view does place somewhat heavy than usual emphasis on the horizontal coordinate of operations, the conscious and unconscious relation to the analyst as a living and actual object, who becomes invested with the imagery, traits, and functions of critical objects of the past. The relationship is to be understood in its dynamic, economic, and adaptive meanings, in its current ‘structuralized’ tenacity, the real and unreal carefully separated from one another. The process of subjective memory or of reconstruction, the indispensable genetic dimension, is, in this sense, invoked toward the decisive and specific autobiographic understanding of the living version of old conflict, rather than with the assumption that the interpretative reduction of the transference neurosis to gross mnmemic elements is, in itself and automatically, mutative. At least, this of the problem seems appropriate to most chronic neurosis embedded in germane character structure of some Plexuity. That neurotic symptoms connected with isolated traumatic events, covering indisputably true, although the details of process, including the role of transference, are probably not yet adequately understood. Psychoanalysis was born in the observation of this type of process. Nonetheless, for some time, the role of the transference, in the early writings of both Freud and Ferenczi, seemed weighted somewhat in the direction of its resistance function (i.e., as directed against recall), although its affirmative functions were soon adequately appreciated, and placed in the dialectical position, which has obtained with time.
However, even if it is insufficient for exclusive reliance, in relation to the complicated neurotic problems faced, assigning it to the recall and reconstruction of the past an exclusively explanatory value would be fallacious (in the intellectual sense), important though that functions be, and difficult as its full-blown emotional correlate may be to come by. There is no doubt that, even in complicated neuroses, with equivalently complicated transference neuroses, the genuinely experienced linking of the past and present can have, at times, a certain uniquely specific dynamic effect of its own, a type of telescoping or merging of common elements in experience, which must be connected with the meaninglessness of time in unconscious life, compared with its stern authority in the life of consciousness and adaptation to everyday reality. Contributing decisively to such experience, to whatever degree it occurs, is of course, the vivid currency of thee transference neurosis, and central in this, the reincarnation of old objects in an actual person, the analyst.
Thus, an allied problem in the general sphere of transference is the fascinating and often enigmatic interplay of past and present. If one wishes to view this interplay as to a stereotyped formulation, the matter can remain relatively uncomplicated - as a formulation. Unfortunately, this is too often the case. The phenomenon, however, retains some important obscurities, which cannot thoroughly be to dispel, but to which would be to call of its attention. To concentrate on the dimension of time, only to omit reference to the many complicated and intermediate aspects of technique, is, however essential. For example, we can assume that the transference neurosis re-enacts the essential conflicts of the infantile neurosis in a current setting. If a reasonable degree of awareness of transference is established, the next problem is the genetic reduction of the necrosis to its elements in the past, through analysis of the transference resistance and allied intrapsychic remittances, ultimately genetic interpretations, recollection and reconstruction, and working through. As the transference is related to its genetic origins, the analyst by that emerges in his true, i.e., real, identity to the patient, the transference is putatively ‘resolved’. To the extent that one follows the traditional view that all remittances, including the transference itself, is ultimately directed against the restoration of early memories as such, this is a convincing formulation. Yet, in its own right, it has a certain tightly logical quality. However, we know that all this is not so readily accomplished, apart from the special intrapsychic considerations described by Freud in ‘Analysis Terminable and Interminable’. Although in some favourable cases, much of the cognitive interpretative work can be accomplished, there remains the fact that cognition alone, in its bare sense, does not necessarily lead to the subsidence of powerful dynamics, to the withdrawal of ‘cathexes’ from important real objects. For, a short while ago, the analyst is a real and living object, apart from the representations with which the transference invests him, which agree interpretably as such. There is, seldom attempting, as for a confusing interrelation and commingling of the emergent responses due to an older significance in the seeking, and those directed toward a new individual in his own right. Both are important, furthermore, there are large and important zones of overlapping. Apart from such considerations, even the explicitly incestuous transference is currently experienced (at least in good part) by a full-grown adult (like the original Oedipus), instead of a total and actually a helpless child. To be sure, the latter state is reflected subjectively in the emergent transference elements of instinctual striving: But it is subject to analysis, and the residue is something significantly, if not totally, different. It is these as such, which, must be displaced to others. If, as generally agreed, the revival of infantile fantasies and striving in the biologically mature adolescent. This presents a new and special problem, one must assume distinctiveness of experience for the adult, although it is true that in most of instances, adequate solution is favoured by the effected state. There is, in any case, a residual real relationship between persons who have worked together in a prolonged, arduous, and intimate relationship, which, strictly speaking, is not transference, but there may be mutual colouration, blending, and some confusion between the two spheres of feeling. The general tendency is, such as to ignore this dual aspect, in continuing relationships, probably both components are gratified often. Above all, there is the ubiquitous power of the residual primordial transference, the urge to cling to an omnipotent parent, to resist the displacement of its ‘sublimated’ analytic aspects, even if the various representations of the wishes for bodily intimacy have been thoroughly analysed and successfully displaced. The outcome is largely the ‘transference of the transference’. For example, reality can provide no actual answer to the man of faith finds this gratification in revealed religion, others in a wide range of secular beliefs and ‘leaders’, the modern rational and sceptical intellectual is less fortunate in this respect. Presumably free, he is prone to invest even intellectual disciplines or their proponents with inappropriate expectations and partisan passions. Elsewhere, in that of our own field does not provide exception to this tendency.
Of unequivocal importance, is the sheer fact of current continued physical proximity, as a dynamic and economic factor of great importance in itself, in the prolongation of transference effects. The flood of neurophysiological stimuli occasioned by the analyst’s presence causes an entirely different intrapsychic situation from the prevailing in is absence, no matter how one understands the difference. Thus, the gradual ‘weaning’ to independence, through the reduction of hours, is very useful in many instances: In some, it may be that the dissolution of the transference (in a practical sense), if well analysed, occurs, as Macalpine suggests, only after regular vistas cease. There are a certain number of patients who will never show a terminal phase (or incipient adaptation to the idea of termination as a reality), without relatively arbitrary setting of a termination date. Even though it has been tendentiously misunderstood in one or two instances. That is to say, that a predismissed period of varying duration, following what would ordinarily be regarded as termination, be devoted to vis-à-vis interviews, at reduced frequency, dealing in integrated fashion with whatever preoccupations the patient is impelled to bring to such valedictory. The vis-à-vis element adds the further advantage of testing tenacious transference images against the actuality.
The urge toward actual instinctual gratifications and allied satisfactions, the need to be rid of burdens of time and expense, the sheer urges toward independent functioning, often participate importantly in the dynamic of ultimately successful separation. Certainly, the analyst’s own nonarrogant but firm inaccessibility to residual transference wishes of the patient (however expressed), coupled with the conscious and unconscious wish to set him free for developments in his individual potentialities, also contributes to his important development.
Apart from and anterior to the indubitably important ancillary element in the dissolution of clinical transference, mediated in the sphere of reality, the restoration of the past in gross mnemic units, whether by recollection or reconstruction, finds specifying and augmenting support toward effectiveness in the increasingly detailed technical exploitation of the transference neurosis, in the sense of the analysis of the dynamic nuances that it presents. In other words, if the exposure of a man’s oedipus complex, or his passive homosexual solution of its vicissitudes. Is an important step in the analytic work, the further understanding of the determinants of the pathological augmenting elements in the incestuous fixation, or the specific determinants of the choice of solution in the crosscurrents of the childhood setting, is most liable to be accessible in a useful way in the details of the transference neurosis, where they lend themselves to reconstruction, which is often for more useful than the gross units of spontaneous recollection? In proceeding to such further analysis, such concepts as the universality of the oedipus complex, or intrinsic bisexuality, become only the more helpful, rather than suffering degradation to the position of stereotypic impediments. Such processes, in common with respect for the realities of the analytic (and extra-analytic) setting, serve not only to ease the genuine recollection and reconstruct of the past, but to provide a context in which recall and reconstruction can more often ‘cast the balance’, i.e., provide that mutative or at least, catalytic elements in insight that is distinctively psychoanalytic. Whether or not it serves to resolve the transference neurosis entirely. It contributes something not be dispensed with, toward its adequate understanding and resolution.
That in saying that Freud’s emphasis on remembering as the goal of the analytic work implies that remembering is the principal avenue to the resolution of the transference, but his delineation of the successive steps in the development as a change from an effort to reach memories directly to the use of the transference as the necessary intermediary of reaching the memories.
In contrast to remembering as the way the transference is resolved, that Freud, also, described resistance for being primarily overcomes in the transference, remembering following easily thereafter: ‘From the repetitive reactions that are exhibited in the transference we are led along the familiar paths to the awakening of the memories, which appear without difficulty, it was that, after the resistance has been overcome’, and ‘This revision of the process of repression can be accomplished only in part in connection with the memory traces of the process that led to repression. The decisive part of the work is achieved by creating in the patient’s relation to the analyst - in the transference - new edit in of the old conflicts . . . Thus, the transference becomes the battlefield on which all the mutually struggling forces should meet one another’. This is the primary insight of which Strachey (1934) clarified in his seminal paper on The Therapeutic Action of Psychoanalysis.
There are two main ways in which resolution of the transference can take place through work with the transference in the here and now. The first lies in the clarification of what are the cues in the current situation that are the patient’s point of departure for a transference elaboration. The exposure of the current point of departure at once raises the question of whether it is adequate to the conclusion drawn from it. The relating of the transference as a current stimulus is, after all, part of the patient’s effort to make the transference attitude plausibly determined by the present. The reserve and ambiguity of the analyst’s behaviour are what increases the ranges of apparently plausible conclusions the patient may draw. If an examination of the basis for the conclusion makes clear the actual situation on which the patient responds is subject to other meanings that the one the patient has reached, he will be more readily considered his pre-existing bias, that is, his transference.
Another critic of an early version of this paper suggests that, in speaking of the current relationship and the relation between the patient’s conclusions and the information on which they seem plausibly based, such that of implying to some absolute conception not what is real in the analytic situation, of which the analyst be the final arbiter. That is not the case. For which of saying, that what the patient must come to see is that the information he has is subject to other possible interpretations that implies the very contrary to an absolute conception of reality. In fact, analyst and patient engage in a dialogue in the spirit of attempting to arrive at a consensus about reality, and about some fictitious absolute reality.
The second way in which resolution of the transference can take place within the work with the transference in the here and now, is that in the very interpretations of the transference the patient has a new experience. He is being treated differently from how he expected to be. Analysts’ seem reluctant to emphasize this new experience, as though it endangers the role of insight and argues for interpersonal influence as the significant factor in change. Strachey’s emphasis on the new experience in the mutative transference interpretation has unfortunately been overshadowed by his views on introjection, which have been mistaken to advocate manipulating the transference. Strachey meant introjection of the more benign superego of the analyst only, as a temporary step on the road toward insight. Not only is the new experience not to be confused with the interpersonal influence of a transference gratification, but the new experience occurs together with insight into both the patient‘s biassed expectation and the new experience. As Strachey point out, what is unique about the transference interpretation, is that insight and the new experience take place in relation to the very person who was expected to behave differently and it is this that gives the work in the transference its immediacy and effectiveness. While Freud did stress the affective immediacy of the transference, he did not make the new experience explicit.
It is important to recognize that transference interpretation is not a matter of experience, in contrast to insight, but a joining of the two together. Both are needed to bring about and maintain the desired changes in the patient. It is also important to recognize that no new technological interventions are required to provide the new experience. It is an inevitable accompaniment of interpretation of the transference in the here and now. It is often overlooked that, although Strachey said that only transference interpretations were mutative, he also said with approval that most interpretations were outside the transference.
In a further explication of Strachey’s paper and entirely consistent with Strachey’s position, Rosenfeld (1972) has pointed out that clarification of material outside the transference is often necessary to know what is the appropriate transference interpretation, and those both genetic transference interpretations’ extra-transference interpretations play an important role in working through. Strachey said relatively little about working through, but surely nothing against the need for it, and he explicitly recognized a role for recovery of the past in the resolution of the transference.
Importantly, it is advantageous of our position to emphasize the role of the analysis of the transference in the here and now, both in interpreting resistance to the awareness of transference and in working toward its resolution by relating it to the actuality of the situation. However, it is agreed that extra-transference and genetic transference interpretations and, of course, working through are important too. The matter is one of emphasis, whereas, interpretations to resistance to awareness of the transference should figure in the majority of sessions, and that if this is done by relating the transference to the actual analysis situation, the very same interpretation is a beginning of work to the resolution of the transference. To justify this view more persuasively would require detailed case material.
Favourably, the Kleinians whom, many analysts feel, are in error in giving the analysis of the transference too great if not even in an exclusive role in the analytic process. It is true that Kleinians emphasize the analysis of the transference more, in their writings at least, that do the general run of analysts. Nonetheless, Anna Freud’s (1968) compliant that the concept of transference has become overexpanded seems to be directed against the Kleinians. One of the reasons the Kleinians consider themselves the true followers of Freud in technique are precisely because of the emphasis they put on the analysis of the transference. Hanna Segal (1967), for example, writes as follows: ‘To say that all communications are seen as communications about the patient’s phantasy as well as current external life is equivalent to saying that all communications contain something relevant to the transference situation. In Kleinian technique, the interpretation of the transference is often more central that in the classical technique’.
Despite their disclaimers to the contrary, in of looking into Kleinian case material leads one to agree with what is believed the general view that Kleinian transference interpretations often deal with a so-called deep and genetic analytic situation and thus, differs sharply from the kind of transference interpretation as advocating.
The insistence on exclusive attention to particular aspects of the analytic process, like the analysis of the transference in the here and now, can become a fetish, such that other kinds of interpretation should not be made, however, the emphasis on transference interpretation within the analytic situation needs to be interested or, at the very least, reaffirmed and that we need more clarification and specification on just when other kinds of interpretation are in order.
Of course, it is sometimes tactless to make a transference interpretation. Surely two reasons that would be included in a specification of the reasons for not making a particular transference interpretation, even if one seems apparent to the analyst, would be preoccupation with an important extra-transference event and an inadequate degree of rapport, to use Freud’s term, to sustain the sense of criticism, humiliation, or other painful feeling the particular interpretation might engender, even though the analyst had no intention of evoking such a response. The issue might be, is that, if not of whether or not an interpretation of resistance to the transference should be made, but whether the analyst can find that transference interpretation that the light of the total situation, both transference interpretations and current, the patient is able to hear and benefit from primarily as the analyst intends it.
Transference interpretation, like extra-transference interpretation, that like any behaviour on the analyst’s part, can have an effect on the transference, which in turn needs to be examined if the result of an analysis is to depend as little as possible on unanalysed transference. The result of any analysis depends on the analysis of the transference, persisting effects of unanalyzed transference, and the new experience that has been emphasized as the unique merit of transference interpretation in the here and now. It is especially important to remember this, lest one’s zeal to ferret and out the transference it becomes an unrecognized and objectionably actual behaviour on the analyst’s part, with its own repercussions on the transference.
In placing an emphasis on the analyst to resistance is that of a transference could easily be misunderstood as implying that it is always to recognize the transference as disguised by resistance or that the analysis would proceed without a hitch if only such interpretations were made. That is to say, that neither the analytic process will have the best chance of success if correct interpretation of resistance to the transference and work with the transference, in the here and now are the score of the analytic work.
Finally, with a statement of a conviction designed to set-forth into a broader perspective to psychoanalytic theory and research, as this point in varying degrees of clarity and emphasis throughout its literature, but like so many other aspects of psychoanalytic theory and practice, they fade in and out of prominence and are rediscovered again and again, possibly occasionally with some moded conceptual advance, but often with a newness attributable only to ignorance of past contributions. There are doubtless many reasons for this phenomenon. But not the least, in my opinion, is the almost total absence of systematic and controlled research in the psychoanalytic situation, that such research in contrast to the customary clinical research findings becomes solid and secure knowledge instead of being subject to erosion again and again by waves of fashion and what Ernst Lewy (1941) long ago called the ‘return of the repression’ to designate the retreat by psychoanalysis from insight they had once reached.
Forward-looking, Laplanche and Pontalis (1973), in their dictionary, write, with some sense of despair, ‘The reason it is so difficult to propose a definition of transference be that for many authors the notion have taken on a very broad extension, even coming to connote all the phenomena that constituted the patients’ relationship with the psychoanalyst. As a result the concept is burdened down more than any other with each analyst’s particular views of the treatment - on its objective dynamics, tactics, scope, and so forth. The question of the transference is thus, beset by a whole series of difficulties that have been the subject of debate in classical psychoanalyses’.
Sandler (1983) has discussed how the term’s transference and transference resistance, as well as other terms have undergone profound changes in meaning, that its new discoveries and new trends in psychoanalytic technique assume ascendancy. He said,’ . . . major changes in technical emphasis brought about the extension of the transference concept, which now has dimensions of meaning which differ from the official definition of the term, ‘while a certain flexibility of definition make s conversation possible in a field of diverse views, that we may never be clear on what any two people mean when they use the term is a significant obstacle to our discourse’.
With this in mind we might review one of Freud’s last comments on transference. In ‘An Outline of Psycho-Analysis’ (1940) published posthumously, he wrote of the analytic situation:
The most remarkable thing is this. The patient is not satisfied with regarding the analyst in the light of reality as a helper and advisor who, moreover, is remunerated as that on a difficult mountain climb. The patient sees in him in him the return, the reincarnation. Content with some such role as that of the contrary, the patient sees in him the return, the reincarnation of some important figure and of his childhood or past, and consequently transfers onto him feelings and reactions that undoubtedly applied to this prototype, on the one hand an instrument of irreplaceable value and on the other an instrument of irreplaceable value and in the others that he set too out on a difficult undertaking without any suspicion of the extraordinary power that would be at his command.
Another advantage of transference, too, is that in it the patient produces before us with plastic clarity an important part of his life-story, of which he would otherwise have probably given us only an insufficient account. He acts it before us, as it was instead of reporting it to us.
Freud transference interpretation as a method of strengthening the ego against past unconscious wishes and conflict.
It is the analyst’s task constantly to view the patient out of his manacling illusion and show him again and again that what he takes to be new real life is a reflection of the past. And lest, he should fall into a state in which he is inaccessible to all evidence, the analysis transference that neither the love nor the poised reach and extreme height. This is affected by preparing him in good time for these possibilities and by not overlooking the first signs of them. If we succeed, as we usually can, in enlightening the patient on the true nature of the phenomena of the transference, we thus will have struck a powerful weapon out of the hand of his resistance and will have converted dangers into gains. For a patient never forgets again what he has experienced in the form of transference; it carries a greater force of conviction than anything he can acquire in other ways.
While Freud, at one or another time entertained almost all possible views of the transference, whereas, it is my belief that these statements at the end of his career give a clear sense of where he stood, he believed that the transferable represent a true reconstruction of the past, a vivid reliving of earlier desires and fears that distort the patient’s capacity to perceive the ‘true nature’ of the present reality. The analyst is a wise guide who already knows the path, and the task of the transference interpretation is cognitive ‘enlightenment’ that carries the emotional conviction of lived experience, while preventing excessive emotional regression.
Although it is a vast oversimplification and the division is not sharp, however, it is to suggest that there have been two major ideas about the transference. And interpretation during the history of psychoanalysis. One is explicit in Freud, as aforesaid, but the other is implicit in Freud , is that the transference is an enactment of an earlier relationship, and the task of transference interpretation is to gain insight into the ways that the early infantile relationships are distorting or disturbing the relationship to the analyst, a relationship that is, in turn, a model for the patient’s life relationship: Referring to this as the historical model of transference, implying both that it is older and that it is based on an idea of the centrality of history. Another view regards the transference as a new experience than an enactment of an older one. This purpose of transference interpretation is to bring to consciousness all aspects of this new experience including its colouring from the past: In reference to this as the ‘modernist model of the transference, implying both that it is newer, in fact still at an early stage, and found to distinguish this discussion of models of transference and transference interpretation from the debate on the ‘here and now’, interpretation that Gill has brought to the fore. Gill is primarily interested in issues of technique, and both models that will lend themselves to interpretative work in the here and now. These models are not entirely mutually exclusive, but they do imply significant differences in basic assumptions and in treatment goals. Although the historical view is clearer and prettier, wherefor it is believed that the modernist version of transference interpretation is more interesting and more promising.
In the historical view, the importance of transference interpretation lies in the opportunity it provides in the transference neurosis for the patient of re-experience and undoes the partiality encapsulated, one might say ‘toxic’, neurosogenic early history. As such, modernist view the purpose of transference interpretation is to help the patient see, on the intensity of the transference, the aims, character, and mode of his current wishes and expectations of influenced by the past.
The historical view is more likely to regard the infantile neurosis as a ‘fact’ of central importance for the analyst work, to be uncovered and undone. The modernist view regards the infantile neurosis, if acknowledged at all, as an unprivileged act of current fantasies than historical acts. From this modernist perspective, the transference resistance is the core of the analysis, to be worked through primarily because of the rigidity it imposes on the patient, not because of an important secret that it conceals.
Similarly, it is a corollary of the historical conception to view the transference neurosis as a distinct phenomenon that develops during the analysis as a consequence of the expression of resistance to drive-derived aims that are aroused toward the analyst. That holding the modernist view, much more influenced by object-relational ideas of development, are likely to blur the idea of a specific transference neurosis in favour of viewing all transference response as reflecting shifting self-and object representation as they are affected by the changing analytic relationship, and significant transference may be available for interpretation very early in the analysis. There is no doubt that the modernist view also reflects the scarcity of the once classical neurotic patient.
The historical view is more likely to see the analyst as a more or less neutral screen upon which drive-derived needs will enact themselves. He is observer and interpreter, not co-participant in the process of change. The person of the analyst is of lesser importance. That taking the modernist views hold that the analyst is an active participant, a regulator of the analytic process, whose personal characteristics powerfully influence the content and shape of the transference behaviour, and who will himself be changed in the course of the treatment.
The historical view emphasizes the content and precision of the transference interpretation, especially as it reconstructs the past. The modernist view, at least in some hands, is likely to de-emphasize reconstructive content and see the transference interpretation as one aspect of the interpersonal relationship in the present, acting as a new emotional and behavioural regulator, when past relationships have been inadequate or absent. Incidentally, this concept of an organismic regulator is consonant with current research on grieving men and motherless mice and monkeys, in all of whom a missing relationship creates vast neuroendocrine and emotional consequences.
The increasi8ng influence of the modernist version of transference and its interpretation represents an adaptation to several long-term philosophical, scientific and cultural shifts we can now recognize. This changing view of transference is also the most visible emblem of the deep changes in psychoanalytic theory that are now quietly taking place, and of the theoretical pluralism that is so prevalent today (Cooper 1985).
One of these long-term changes in the climate in which psychoanalysis dwells results from a large philosophical debate concerning the nature of history, veridicality, and narrative. Kermode (1985) has written of the changes during this century in our modes of understanding and interpreting the past and the present: ‘Once upon a time it seemed obvious that you could best understand how things are by asking how they became that way’. Now attention [is] directed to how things are in all their immediate complexity. There is a switch, to use the linguistics expression, from the diachronic to th synchronic view. Diachrony, roughly speaking; studies things in their coming to be as they are. Synchrony concerns itself with things as they are and ignores the question how they got that way. This distinction, put forth by de Saussure (1915), had achieved philosophical dominance today and is the clear source of the hermeneutic view so relevant in psychoanalysis, proposed by Ricoueur (1970). From here it is a short distance to Schafer (1981) or Gill (1982), or Spence (1982), who in varying ways adopt the synchronic view. In this view, the analytic task is interpretation, with the patient, of events is of the analytic situation - usually broadly as labelled transference - with a construction rather than a reconstruction of the past. In effect, while there is a past of ‘there and then’ it is knowable only through the filter of the present, of ‘here and now’. There is no other past than the one we construct, and there is no way of understanding the past but through its relation to the present.
Its emphasis, that psychoanalysis, like history but unlike fiction, does have anchoring points. History’s anchoring points are the evidence that events did occur. There was a Roman empire, it did have dates, actual persons lived and died,. These ‘facts’ place a limit on the narratives and interpretations that may seriously be entertained. Psychoanalysis is anchored in its scientific base in developmental psychology and in the biology of attachment and affects. Biology confers regularities and limits on possible histories, and our constructions of the past must accord with this scientific knowledge, constructions of childhood that are incompatible with what we know of developmental possibilities may open our eyes to new concepts of development, but more likely they alert us to maimed childhood that have led our patients to unusual narrative construction in the effort to maintain self-esteem and internal coherence. A second, far less secure, anchorage is the enormous amount of convergent data that accumulate during the course of an analysis is, which are likely to give the analysis to the impression that is reconstructing, than constructing the figures and the circumstances of his patient’s past. While a diachronic view may no longer suffice, and may not be fully dispensable if our patients’ histories are to maintain psychoanalytic effects accompanying the fantastic world of infantile psychic reality. Not all analysts are yet as ready as Spence, for example, to give claim to the truth value of explanatory power of the understanding of the past, even if it is limited to knowing past constructions of the past. Nevertheless, the change in a philosophical outlook during our century is profound and contributes to our changing view of the analytic process as exemplified in the transference and its interpretation.
Approaching the same issue from an entirely different vantage point, Emde (1981), speaking for the ‘baby-watchers’ and discussing changing models of infancy and early development, details a second source of the major change of climates to which he spoke, that, . . . ‘The models suggest that what we reconstruct, and what may be extraordinarily helped to the patient in ‘making a biography’. May never have happened? The human being, infant and child, is understood to be fundamentally active in constructing his experience. Reality is neither given nor necessarily registered in an unmodifiable form. Perhaps it makes sense for the psychoanalyst to place renewed emphasis on recent and current experience - first, as a context for interpreting early experience and second, because it contains within it the ingredients for potential amelioration . . . Psychoanalysts are specialists in the dealing with the intrapsychic world and in particular with the dynamic unconscious. But we need to pay attention not only to the intrapsychic realm, conflict-laden and conflict-free, but also to the interpersonal realm. He concludes,‘ . . . we have probably placed far too much emphasis on early experience itself as opposed to the process by which it is modified or made use of by subsequent experience’.
This view of psychic development, discarding the timeless unconscious and so powerfully at odds with the views that were held by psychoanalysts during the time when most of our ideas of transference interpretation were formed, clearly suggests the modernist model of transference interpretation.
A change in the cultural environment of psychoanalysis provides yet a separate and unlike in kind or character , for which could hardly be a more different source for the changing model of transference interpretation. Valenstein describes oscillations in a psychoanalytic outlook between an emphasis on cognition at one end, and an effect upon the other. One might see these as differences between old-fashioned scientific and romantic world views. Surely, the period of ego psychology, may, as, perhaps, reflected in the English translation of Freud, and certainly reflected in the effort to insist on the libidinal energid point of view, represented the attempt to see psychoanalysis as Freud usually did, as an objective science, in the nineteenth century style, with hypotheses created on naïve observation, it accorded with the view to see the transference as an objective reflection of history. We are currently on one of our more romantic periods. It is consonant with that view to see transference as an activity – stormy, romantic, affective - a kind of adventure from which individual’s emerge changed and renewed. In this romantic view, interpretations of the transference are intended to remove obstacles interfering with the heightening and intimacy of the experience, with the implication that self-knowledge and change will result from the encounter. As romantic figures, the patient and the analyst set forth on a quest into the unknown, and whether or not one of then returns with the Holy Grail, it is, nonetheless, their returning with many new stories to tell and a new life experience - th e analysis. Gardner’s (1983) book ‘Self Inquiry’, epitomizes this romantic view of the analyst and the patient as a poet-pair engaged in mutual self-inquiry. It is clear, nevertheless, that many analysts would rather be artists that scientists. By contrast, the older, cognitive view of the transference is of an intellectual journey, emotionally loaded of course, but basically a trip back in history, for which in the seeking of truth and insight.
Finally, our newer ideas of transference interpretation come from the rereading and reinterpreting of Freud that necessarily accompanies the changes in outlooks that are those in the aforesaid context. Corresponding, to the swings of analytic culture between classical and romantic, there were swings in psychoanalytic technique from Freud’s actual technique, as reconstructed from the notes and the reports of his patients, to the so-called ‘classical’ technique that held sway after Freud’s death, and again, to the currently changing technological scene. Lipton (1977), has insisted that in the 1940's and 1950's the so-called ‘classical’ technique replaced Freud’s own more personal and relaxed technique, probably in relation to Alexander’s suggestion of the corrective emotional experience. It was Lipton’s view that the misnamed ‘classical’ techniques, in contrast to Freud’ emphasized rules for the analyst’s behaviour and sacrificed the purpose of the analysis. Eissler’s 1953 description of the analysis as activity that in which ideally uses only interpretation, became the paradigm for ‘classical’ analysis. It was, Lipton saying, in that of a serious and severe distortion of the mature analytic technique developed by Freud. As, Freud regarded the analyst’s personal behaviour, the personality of the analyst, and the living conditions of the patient as nontechnical parts of every analysis, as exemplified for Lipton in the case of the ‘Rat Man’. The so-called ‘classical’ (and in his view non-Freudian) techniques attempted to include every aspect of the analytic situation as a part of technique and led to the model of the silent, restrained psychoanalysis. Lipton’s argument is persuasive.
These differentiated models of technique have obvious implications concerning the transference and its interpretation. Unless we believe in an extreme version of the historical model, we must expect that the silent, restrained, and non-participatorial, for which the psychoanalyst will elicit different responses from his patient than will the vivid, less-hidden and more responsive analyst. The range of personal behaviour available to the analyst before we need be concerned that the analyst is engaging in activities that are excessively self-revelatory or that force the patient into a social relationship, as for being probably much broader than we thought a few years ago. However, we also know that almost any behaviour of the analyst, including restraint or silence, immediately influences the patient’s response. In these newer views of the analytic situation it is not easy to know what in the transference is iatrogenic consequences of analytical behaviour than are to intra-psychically derived patient behaviour.
It is evident today that psychoanalysts, under the sway of their theories and personalities, differ greatly concerning matters to which they are sensitive, and, of course, we can interpret only the transferences we perceive. Despite this limitation, a reviews of the literature reveal, along with the usual rigidness, a laudable tendencies to describe one’s experience as fully as possible, without heed to how it contradicts belief, often blurring over when experience and theory do not match. Nonetheless, we have always been better at what we do than at what we say we do. This is exemplified in Heimann’s (1956) paper. Speaking from a modified Kleinian perspective, and holding the historical theory of transference interpretations, Heimann managed, 30 years ago, to describe vividly and to support passionately much of what today is under discussion as the modernist version. That her positions were contradictory bothered her not at all. While many of us prefer to think we are following our theories, like all good scientists, good psychoanalysts, beginning with Freud, have always seen and, responded to far more than our theories admit. When we have seen too much, we change our theories.
Our current pluralistic theoretical world, in which almost all analysts are working, wittingly or not, with individual amalgams of Freud’s drive theory, ego psychology. By interpersonal Sullivanian psychoanalysis, object-relations theory, Bôwlbyan or Mahlerian theory, and usually smuggled-in of self-psychology, lies at the base of the newer ideas and disagreements concerning transference interpretation.
Although the historical definitions of transference and transference interpretation have the merit of seeming precision and limited scope that are based on a psychoanalytic theory that no longer stands alone and has lost ground to competing theories. Of requisite, the historical definition for being replaced, or at least, subsumed, by modernist conceptions that are more attuned to the theories that abound today.
In this hodgepodge setting, it might help in our thinking about transference interpretations and in our understanding of the theories we hold, if we are dialectically aware, in that of an awakening spark in aflaming ambers of fire, that we become apparent of our conceptions of the modernist view, we have not abandoned the historical perspective, rather, it our’s have become a characterized component to a more complicated and complex Plexuity as drawn on or upon the transference.
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