Customer Service | Help | FAQ | Report a Data Error | About
Tip: To see translations of this article…

PEP-Web Tip of the Day

When there are translations of the current article, you will see a flag/pennant icon next to the title, like this: 2015-11-06_11h14_24 For example:


Click on it and you will see a bibliographic list of papers that are published translations of the current article.  Note that when no published translations are available, you can also translate an article on the fly using Google translate.


For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Furer, M. (2000). Discussion of Dr. Epstein's Case. J. Clin. Psychoanal., 9(4):436-439.

(2000). Journal of Clinical Psychoanalysis, 9(4):436-439

Discussion of Dr. Epstein's Case

Manuel Furer, M.D.

The first point I want to make is that this analyst's technique is informed by what I consider the point of view of the New York Psychoanalytic Institute. There is a consistent analysis of the patient's resistances in the analytic work and of her defenses against affects and wishes; that is, against drive derivatives based upon the theory of intrapsychic conflict. Of particular interest is the influence of this patient's childhood sexual activity, on the one hand traumatic, on the other formative in regard to certain defenses used by the ego, including the trauma as denial of her own sexuality and wish for power over others, particularly men.

There are only a few prominent motifs in this report. The most notable is the role of moral or ethical conflicts as illustrated by the affect of guilt activating her defenses such as the regressive forms of guilt in the transference, fears of retaliation, and sell-punitive ideas and behavior. The second motif to be noted is the passionate temperament of this patient; the intensity of both her sexuality and her rage, which early on in the work was warded off and transformed. When the resistances were analyzed, derivatives appeared in full force in the transference and in her life.

The third motif, the most difficult and the most hazardous to the analytic work, is the pressure to seek revenge in a fashion familiar to us as reversal; to demonstrate to herself, to the world, and particularly to the analyst that the analyst has failed.

I will not take up the detailed data of the analysis, but instead I will target the technical issue of the interaction of analyst and patient. Ferenczi, some time ago, pointed out that analyst-patient emotional interaction is inevitable but must be subject to analytic work in regard to both analyst and patient.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2018, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.