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March 29, 2004. As Tamara Feldman correctly points out, my paper on the patient's right to tell examines how ethical considerations may set real limits on what patients can justifiably reveal in the course of analysis. More broadly, however, it may be seen as an attempt to demonstrate that in order to determine the ethical nature of psychoanalysis, extraanalytic dimensions must be taken into account. It is possible that there are processes and developments that would be good for an analysis, but are not good, ethically speaking. When the two kinds of “good” are not mistakenly confounded, then not only is the analytic endeavor better understood but so are the ethical dilemmas that inevitably face the patient who enters upon it. My paper offers no definitive solutions to the problems and dilemmas it points to, but rather invites the reader to engage in them.
Feldman's response reflects a constructive engagement of this kind. She deliberates on ethical issues pertaining to free association in the context of analytic training. She focuses especially on the problems that arise from the fact that what the analysand reveals in a training