Affiliate Staff Discussion

Dr. Rittenberg asked for Dr. Lupi's comments in response to the two discussions and enquired additionally whether Dr. Lupi had felt the patient in his early twenties seemed adolescent. Dr. Lupi responded that he was most struck with the patient's masochism and gave examples of the patient's self-destructive behavior.

Dr. Wyman This analysis had the character of an adolescent analysis. It should be viewed not as incomplete, but rather the adolescent segment of an analysis which may be taken up again in an “adult” segment.

Dr. Bachrach agreed with the concept of an adolescent phase segment of an analysis which may continue when a patient is older. He described a young adult patient of his who had terminated his analysis when he entered school. He later returned for further work and expressed appreciation for the way his autonomy had been preserved in the course of the earlier decision to interrupt the analysis. Dr. Bachrach then enquired about the fee increases, how did they emerge in the analytic material? Dr. Lupi responded that the analytic work regarding fee changes was burdened by the patient's wish to make Dr. Lupi either the sadistic parent or the victim of the patient's theft. DR. JANKOWITZ emphasized that this was not simply an adolescent analysis, but rather a case of delayed adolescence — a developmental arrest due to faulty conflict resolution. One difficulty was the patient's problems relinquishing his yearnings for his father, thus interfering with the formation of the ego ideal. The patient also feared being like his psychopathic father.

Dr. Lipton wondered to what degree the patient's identification with both his father and mother were taken up in the analysis.

Dr. Goldsmith wondered more about the patient's relationship to his brother, had that come up much in the analysis? Dr. Lupi underscored the patient's apparently paternal feelings about his younger

brother; competitive feelings were displaced. The theme of the erotic sadomasochistic dream concerni