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Gitelson, M. (1962). The Curative Factors in Psycho-Analysis—Contributions to Discussion. Int. J. Psycho-Anal., 43:234-234.

(1962). International Journal of Psycho-Analysis, 43:234-234

The Curative Factors in Psycho-Analysis—Contributions to Discussion

Maxwell Gitelson

(vii) MAXWELL GITELSON (Reply)

I cannot possibly repeat the discussion I was engaged in this afternoon in which I had the feeling that many of the admittedly obscure points in my presentation were clarified. However, I want to emphasize again that I was not discussing problems of technique. I have considered only the problem of what may be going on within the patient which is curative. That is what we are concerned with.

In my paper I stated that it was my impression that analysts seem to take it for granted that the crux of psycho-analytic cure is interpretation, insight, and the repercussions of insight. As Waelder validly suggested, the latter results in increased communication between the intrapsychic systems and within them. This is what makes what we call insight meaningful. However, it seems necessary to iterate that 'insight' as such has no therapeutic effect. I think we have all had the experience of patients who go away with much 'insight' and no therapeutic result whatever.

Now in my presentation I was taking one segment of the analytic process into consideration—the beginning of analysis. I was exploring what it could be that is already curatively oriented and operating when the patient comes to us, and during the early development of the psycho-analytic situation. I discussed this in terms of rapport and the readiness for transference, the consequent movement towards the therapeutic alliance, and thus towards the establishment of the technical situation which we call the transference neurosis.

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