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My intent in this presentation is to bring together two lines of intellectual interest, one theoretical and one empirical, with which I have been somewhat separately preoccupied over a thirty-year period. The theoretical concern has been with the nature of psychodynamic or psychoanalytic psychotherapy in all of its complex relationships with its psychoanalytic parentage. The empirical concern has been with the careful tracing of the therapeutic courses and outcomes, the treatment careers and the longterm, posttreatment follow-up life careers, of a cohort of 42 patients, 22 in psychoanalysis proper and 20 in other kinds of psychoanalytic psychotherapy, who comprised the patient population in our Psychotherapy Research Project of The Menninger Foundation, started in 1952 and brought to final closure with my completion in 1982 (and publication in 1986) in book form of the overall clinical accounting of these “42 Lives in Treatment.”
The Psychotherapy Research Project was established within a context of the then-prevailing theory, the theory of psychoanalytic psychotherapy, as well as the theory of psychoanalysis as a therapy. I do not have the time here to review any of that theoretical context as it was reflected via the range of issues, or rather controversies, both conceptual and technical, comprised in the varying understandings at that time of the relationship among psychoanalysis and its derivative dynamic psychotherapies. If I just