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The authors examine experience with fifty-nine free patients at the Psychoanalytic Clinic of the University of the State of New York. The average duration of treatment was three hundred and twenty hours. Freud, in 1918, foresaw that free treatment might ultimately need to be provided for many, and wrote of the special complications of analysis under such conditions. The authors find that the objections are only partially valid and have to do principally with problems of transference and countertransference.
In the discussion of this paper, Dr. W. C. M. Scott suggests that the principal problem of free analysis is the patient's inability to demonstrate his worth and potency through work, earning, and 'gifts' of money to the analyst. 'The problem of the underprivileged in analysis is soon transformed into the problem of the impotent.'