There are distinct theoretical and practical advantages to restricting the use of the term "acting out" to its original meaning, "acting out in the transference". Acting out is seen as more than resistance to therapy. It contains the reworking of early identifications, learning experiences, and efforts at mastery. Acting out

and generally impulsive behaviour differ in their genetic, dynamic, economic, structural, and adaptive aspects. They can be placed on a continuum of intrusive behaviour. Therapeutically, interpretation of the transference-centred conflict is the most useful intervention in acting out behaviour. Interpretation plus imposition of temporary controls are required for the realistic treatment of patients with generally impulsive behaviour.