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Van Der Heide, C. (1943). Symptom Intensification Following Memory Recovery: A Clinical Discussion: John Milne Murray. Psa. Rev., XXVIII, 1941, pp. 130–138.. Psychoanal Q., 12:436-437.
Psychoanalytic Electronic Publishing: Symptom Intensification Following Memory Recovery: A Clinical Discussion: John Milne Murray. Psa. Rev., XXVIII, 1941, pp. 130–138.

(1943). Psychoanalytic Quarterly, 12:436-437

Symptom Intensification Following Memory Recovery: A Clinical Discussion: John Milne Murray. Psa. Rev., XXVIII, 1941, pp. 130–138.

Carel Van Der Heide

This paper deals with the problem of why the recovery of the memory of an incident upon which symptoms have been founded is not always followed by clinical improvement. After twenty-one months of analysis, characterized chiefly by a strong dependence and a negative transference (the object of the projection of all wrongs), a woman patient recalled for the first time her emotional reaction to the sight of a newly born brother at her mother's breast. It was a highly destructive fantasy of an oral nature, directed toward the mother's 'insides'. The recollection occurred after the patient became aware

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of her wishes to kill her husband (and the analyst) and then dreamed of her mother as a poisoning old witch.

There was no consequent improvement, but rather a five-month period of increased sickness, acting out, and marked ambivalence toward the analyst. The author makes clear that the recollection itself could not have any cathartic value as long as the rigid defenses created by the infantile episode had not been worked through in the transference. In response to the intense unconscious guilt and fear of the loss of a beloved person, the patient defended herself by a devaluation of the mother (analyst) and a projection of her destructive tendencies.

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Article Citation

Van Der Heide, C. (1943). Symptom Intensification Following Memory Recovery: A Clinical Discussion. Psychoanal. Q., 12:436-437

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