Discussion

We are indebted to Dr. Shaw for this wonderful case presentation. He has been consistent in his technique so that we have a clear idea of his theoretical orientation and what is behind his comments. We know that he values verbalization, he respects Larry's feelings, he focuses on behavior and play as a way of understanding what is being conveyed nonverbally. He directs attention to defenses and conflicts. He promotes development of the transference and sees its resolution as central to his job. I wonder how this process would have been different if the analyst were not so committed to the importance of the transference, its development and resolution in the analytic relationship as is Dr. Shaw. It is clearly central here.

As we turn to the process notes, we are struck with how much has changed since our first meeting with Larry. There have been major advances in ego development. Play has become more meaningful and symbolic, verbalization is greatly enhanced, symptoms have disappeared, defenses have changed. Conflicts have diminished in intensity except where they have become focused in the transference, in which case they have intensified. They have been brought into the room where they can be understood in the immediacy of the experience. Larry's relationship with Dr. Shaw has become more trusting. It has blossomed into the intense transference reaction that has developed. I turn to the process notes from the two sessions to demonstrate all of this and to speculate on what has brought it about.

On Tuesday, Larry comes in and says: “I guess you know what I'm worried about for tomorrow.” I picture him bounding in, throwing his jacket in his spot next to the door, while he is rushing to get