The patient is not satisfied with regarding the analyst in the light of reality as a helper and adviser who, moreover, is remunerated for the trouble he takes and who would himself be content with some such role as that of a guide on a difficult mountain climb. On the contrary, the patient sees in him the return, the reincarnation, of some important figure out of his childhood or past, and consequently transfers on to him feelings and reactions which undoubtedly applied to this prototype. This fact of transference soon proves to be a factor of undreamt-of importance, on the one hand an instrument of irreplaceable value and on the other hand a source of serious dangers. This transference is ambivalent: it comprises positive (affectionate) as well as negative (hostile) attitudes towards the analyst, who as a rule is put in the place of one or other of the patient's parents, his father or mother. (Sigmund Freud: An Outline of Psychoanalysis - 1940.)
So long as it is positive it serves us admirably. It alters the whole analytic situation; it pushes to one side the patient's rational aim of becoming healthy and free from his
ailments. Instead of it there emerges the aim of pleasing the analyst and of winning his applause and love. It becomes the true motive force of the patient's collaboration; his weak ego becomes strong; under its influence he
achieves things that would ordinarily be beyond his power; he leaves off his symptoms and seems apparently to have recovered - merely for the sake of the analyst. The analyst may shamefacedly admit to himself that he set out on a
difficult undertaking without any suspicion of the extraordinary powers that would be at his command.
[…] An analysis without transference is an impossibility. It must not be supposed, however, that transference is created by analysis and does not occur apart from it. Transference is merely uncovered and isolated by analysis. It is a universal phenomenon of the human mind, it decides the success of all medical influence, and in fact dominates the whole of each person's relations to his human environment. We can easily recognize it as the same dynamic factor which the hypnotists have named 'suggestibility', which is the agent of hypnotic rapport and whose incalculable behaviour led to difficulties with the cathartic method as well. (Sigmund Freud: An Autobiographical Study - 1925.)
When there is no inclination to a transference of emotion such as this, or when it has become entirely negative, as happens in dementia praecox or paranoia, then there is also no possibility of influencing the patient by psychological means. (Sigmund Freud: An Autobiographical Study - 1925.)
If now we follow a pathogenic complex from its representation in the conscious (whether this is an obvious one in the form of a symptom or something quite inconspicuous) to
its root in the unconscious, we shall soon enter a region in which the resistance makes itself felt so clearly that the next association must take account of it and appear as a compromise between its demands and those of the work
of investigation. It is at this point, on the evidence of our experience, that transference enters on the scene. When anything in the complexive material (in the subject-matter of the complex) is suitable for being transferred on
to the figure of the doctor, that transference is carried out; it produces the next association, and announces itself by indications of a resistance - by a stoppage, for instance. We infer from this experience that the
transference-idea has penetrated into consciousness in front of any other possible associations because it satisfies the resistance. An event of this sort is repeated on countless occasions in the course of an analysis. Over and
over again, when we come near to a pathogenic complex, the portion of that complex which is capable of transference is first pushed forward into consciousness and defended with the greatest obstinacy.
What interests us most of all is naturally the relation of this compulsion to repeat to the transference and to resistance. We soon perceive that the transference is itself only a piece of repetition, and that the repetition is a transference of the forgotten past not only on to the doctor but also on to all the other aspects of the current situation. We must be prepared to find, therefore, that the patient yields to the compulsion to repeat, which now replaces the impulsion to remember, not only in his personal attitude to his doctor but also in every other activity and relationship which may occupy his life at the time - if, for instance, he falls in love or undertakes a task or starts an enterprise during the treatment. (Sigmund Freud: Remembering. Repeating and Working-Through - 1914.)
It is perfectly true that psychoanalysis, like other psychotherapeutic methods, employs the instrument of suggestion (or transference). But the difference is this: that in analysis it is not allowed to play the decisive part in determining the therapeutic results. It is used instead to induce the patient to perform a piece of psychical work - the overcoming of his transference resistances - which involves a permanent alteration in his mental economy. The transference is made conscious to the patient by the analyst, and it is resolved by convincing him that in his transference-attitude he is re-experiencing emotional relations which had their origin in his earliest object-attachments during the repressed period of his childhood. In this way the transference is changed from the strongest weapon of the resistance into the best instrument of the analytic treatment. Nevertheless its handling remains the most difficult as well as the most important part of the technique of analysis. (Sigmund Freud: An Autobiographical Study - 1925.)
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