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THE RELATIONSHIP BETWEEN ANALYST and patient operates in four dimensions: 1) transference neurosis, 2) therapeutic alliance, 3) narcissistic alliance, and 4) real relationship. All four qualities of the patient/analyst relationship must be fully recognized and actively utilized by analyst and patient for the psychoanalysis to be successful.
The phenomena of transference neurosis, therapeutic alliance, narcissistic alliance and real relationship are separated only for expository purposes. All patient/analyst relationships consist of overlappings of the four aspects of the therapeutic relationship. Thus, when we speak of the transference, the therapeutic alliance, the narcissistic alliance or the real relationship, we are speaking relatively and identifying the relationship by elements that predominate, keeping in mind that the core of the other three relationships pervasively exist in the background.
The term "transference" can refer to any phenomenon no matter how transient that fits all of the following five criteria: 1) is an interpersonal relationship, 2) is largely determined by previous relationships with significant people, 3) is a repetition of the past, a re-experiencing without memory, 4) is relatively anachronistic and inappropriately relevant to the current situation in which it occurs,