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Pfeffer, A.Z. (1963). The Meaning of the Analyst after Analysis—A Contribution to the Theory of Therapeutic Results. J. Amer. Psychoanal. Assn., 11:229-244.

(1963). Journal of the American Psychoanalytic Association, 11:229-244

The Meaning of the Analyst after Analysis—A Contribution to the Theory of Therapeutic Results

Arnold Z. Pfeffer, M.D.

SUMMARY

The findings of this report and previous reports on the transference phenomena of follow-up studies may be formulated as follows. The transient revival of preanalytic symptoms along with the substitution of analysts may be accounted for on the basis of the compulsion to repeat—using this as a descriptive clinical term.

As is generally understood, transference residues result from incomplete analyses so that conflicts become, and after the termination of the analysis remain, organized around the person and image of the analyst; these conflicts, by further displacement, remain available for continued, repetitive neurotic and character difficulties. If they are of significant degree, such transference residues are observable as operative in residual psychopathology; and if other factors are suitable, their presence may indicate the need for further analysis.

In addition, however, it is here suggested that even in most highly satisfactorily analyzed patients a second type of transference manifestation with a different basis is also observable; that is, transference manifestations based on repetitionrepetition of the essence of the analytic experience itself, including the obtruding in minimal form of the conflicts for which analysis was first sought as well as the repetition of the ego and superego changes that provide new solutions to old conflicts. In follow-up studies these conflicts and new solutions, displaced from the analysis, unlike transference residues, are not observed as being operative in continuing difficulties, and the conflicts and symptoms involved and those recurring in the follow-up study quickly subside and disappear.

The presence of transference manifestations based on repetition

of resolved conflicts are in themselves not indicators for further analysis. On the contrary, it appears that this type of repetition is part of the achievement of the analysis in that it implies the capacity to regress, to cathect new situations, and to master and manage them. Furthermore, it would seem that if the successfully analyzed patient is capable of doing this in the new situation of follow-up study, the same capacity is used in life situations to cathect and adapt.

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