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March 11, 1952. PAST AND PRESENT IN THE TRANSFERENCE. Mark Kanzer, M.D.
The interactions between past and present experiences and the behavior of patients in psychoanalysis should be closely correlated. The devices whereby forbidden drives may find concealment in the present is illustrated by two cases. The first, an agoraphobic patient, felt much improved although the analysis was stagnant. The analyst moved his office, whereat the elaborate, compulsive rituals of her life became revealed. A second patient tried to hide his work problem, which derived from his parental relationships, by focusing his attention exclusively on his sexual problem. The maladjustment in his work was a reflection of his basic difficulty and by avoiding the analysis of it the patient was unconsciously being directed back into a replica of his initial family relationships. An intensive scrutiny of current situations and relationships within the broader framework of the infantile and childhood development is of great importance. In conclusion, the author states that the genetic approach of psychoanalysis requires a concomitant metapsychological 'reconstruction of the present' in conjunction with the reconstruction of the past. Analysis of the transference and of the resistances is used in both processes. The tracing of dream contents