Of twenty-two patients I considered six as primarily intellectually defended individuals whose involvement in any overt transference interreaction was negligible. Three of the six had had more than one prior analytic experience, and of these I learned that two in later years arranged for additional analytic work. These were all individuals of considerable attainment who returned to analysis at the insistence of their spouses with renewed feelings of depression and discouragement.

Four patients presented chaotic transference interaction, and all came for additional analysis out of feelings of desperation and isolation. Two of these arranged for additional therapy in later years. One required electroshock therapy shortly before his death at the age of 58.