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This symposium was given at the Annual Meeting of the New York Psychiatric Society in January, 1922.
Dr. Geo. H. Kirby made general remarks on nosology. Dr. Pierce Clark mentioned that he had been able to analyse more or less completely at least a dozer cases of the manic-depressive type, and in none of them had relapses occurred. He very briefly cited six of these cases. In his subsequent remarks Dr. Clark stated that 'the transference in such individuals is fairly easy, for the patient to the analyst, and vice versa'. 'The permanency and constancy of an enduring transference is, however, difficult.' He advises, therefore, that the transference be taken in hand at the very earliest stage. The best periods for analysis are when the patient is just entering or just emerging from a depressed state. He says that even the slighter grades of elation disestablish the transference and no real analysis can be pursued. He unfortunately does not discuss the fundamental factors at work in these psychoses.