The Countertransference Neurosis1

The significance given to countertransference and the importance attached to the corresponding problems depends on the significance given to the role of the analyst in the cure. This role is considered as a twofold one. First, he is the interpreter of the unconscious processes, and secondly, he is the object of these same processes. An immediate consequence of this is the twofold role of the countertransference: it may intervene and interfere, firstly, inasmuch as the analyst is an interpreter, and secondly, inasmuch as he is the object of the impulses. As regards the former, the countertransference may help, distort, or hinder the perception of the unconscious processes. Or again, the perception may be correct but the percept may provoke neurotic reactions which impair his interpretative capacity. As regards the latter—the analyst as object —the countertransference affects his manner and his behaviour which in turn influence the image the analysand forms of him. Through the analyst's interpretations, the form he gives them, his voice, through every attitude he adopts towards the patient, the latter perceives (consciously or unconsciously) the psychological state he happens to be in—not to speak of the debatable question of telepathic perception. Thus the countertransference, by affecting the analyst's understanding and behaviour, influences the patient and especially his transference, that is to say, the process on which the transformation of his personality and object relations so largely depend.

Just as the whole of the patient's personality, the healthy part and the neurotic part, his present and past, reality and fantasy, are brought into play in his relation with the analyst, so it is with the analyst, although with qualitative and quantitative differences, in his relation with the patient. These two relations differ, above all, through the different external and internal situations of patient and analyst in analytical treatment and through the fact of the lat