[Clinical conference at the Brazilian Institute for Studies and Research in Gastroenterology].
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A woman in analysis with a male analyst developed a significant homosexual transference during the middle phase of treatment. The expression and working through of this material (in displacement) is seen as reflecting one example of the influence of gender on the psychoanalytic process. For the male analyst to utilize this transference, he must make a clear distinction between the negative oedipal phase and the preoedipal (pregenital) phase in female development.
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Re-examining Sigmund Freud's 'Analysis terminable and interminable' (1937) from the perspective of child analysis highlights the importance of developmental assessment and developmental forces in psychoanalysis. This paper explores the questions of the goals of child analysis and the criteria for successful treatment. Also discussed is how unrealistic expectations on the part of the analyst and the parents, as well as the parents' and analyst's conflicts may result in an analysis being interminable. An additional problem at termination is the mourning involved for both the child and the analyst. These issues are explored in the context of the final year of analysis of a 5-year-old boy who stuttered. Reflecting on this boy's analysis, questions about the relationship of termination to developmental forces, the resolution of the transference neurosis, reconstruction, counter-transference and identification with the analysing function of the analyst are explored. The importance and meaning of the child's, the analyst's, and the parents' simultaneously intuitive sense of the time for termination are discussed.
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The processual and argumentative treatment of diagnostic data that characterizes the development of a psychoanalytic judgment appears to be subject to frequent disturbance in cases of pre-oedipal pathologies. Partly as a result of the strong resistance and refusal patterns of such patients, the psychoanalyst neglects to subject to critical analysis his own expectations of progression and his own standards of judgment. In addition, he often makes an effort to protect himself from the sado-masochistic offers of interaction of these patients. If the transference relationship represents the field on which the spectrum of the neurotic patient's relationships is to be redefined, the point of psychoanalytic treatment in cases of pre-oedipal pathologies is to provide the patient with a "playground" on which the rift between the infantile experience of insatiable drives and needs on the one hand and the world of social action perceived as empty, lifeless, and alien on the other can be played out and overcome.
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An analysis of Freud's avoidance of meeting with Josef Popper is offered which suggests that Freud's idealization of Popper was related to an unconscious fear of being attacked by him. This view is compared and contrasted with the concept that Freud had a "mirror transference" to Popper, as proposed by Wolf and Trosman (1974). The choice of focusing on either narcissistic or neurotic mechanisms in this psychobiographical inquiry is discussed and related to similar choices that commonly occur in clinical work.
The patient's productions are a dynamic record of the conflicts of the past as they are recapitulated and re-experienced in the present. Much can be learned by closely studying the immediate effect of the analyst's interventions. Interpretation, especially of transference phenomena, will upset the equilibrium which has been effected and will enable the patient to understand how unconscious fantasies from the past continue to influence his perception and reactions in the present. Interpretation is a continuing process, unfolding in logical sequence. Transference may be an expression of the patient's resistance to recognizing an unconscious wish toward the original object.
Freud long hesitated on how to understand Sophocle's Oedipus--whether that tragedy was caused by Fate, or whether it was all about a sexual rivalry between the father and the son about the mother, he finally chose the latter interpretation. The clinical facts and scientific observations here related undoubtedly show--not man's longing, but his violent--almost instinctive--repulsion for incest--thus explaining the dramatic intensity of the play. The Freudian explanation must therefore be abandoned and the meaning of Sophocle's drama--unquestionably of the highest importance for the understanding of the dynamic situation involving Father, Mother and Child--must be sought elsewhere. Its philosophical value is nonetheless important and a testimony since ancient times and among very different peoples, of man's anguished and tragic quest for a Moral Law.
The concept of "rescue fantasy" is examined as it has evolved since Freud introduced it in 1910. Originally designating the wish in certain men to rescue "fallen women," the term has more recently come to refer primarily to the therapist's conscious or unconscious aims with regard to his patient, particularly in the context of child analysis or therapy. The varying drive elements and defensive operations at work in this compromise formation are discussed, and some recent sociocultural influences and analogues are suggested.
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In this article I have presented my own research on the mourning-liberation process and related it to some of the ongoing work as well as past pioneering clinical studies of this adaptational process. Included in the references at the end of this paper is a listing of my published works on the mourning research, in chronologic order, for those who may wish to study aspects of what has been reported in greater detail.
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To understand the affect-laden psychological processes of patients in a fully informed way, analysts must be able to tolerate a regression in which their unconscious or primary-process modes of functioning are given full sway. With the aid of impressions acquired in this way, cognitive functions in the analytic task are provided with a kind of authenticity not otherwise achievable. There are potential problems that can interfere with the analyst's functioning in the desired manner, and an awareness of these problems is essential. Basic issues of theory and technique that are involved are considered herein.