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DISCUSSION: Dr. Phyllis Greenacre applauded the goal of establishing prognosis on a more sound basis. Because, since the advent of shock and tranquilizer therapy, phenomenological psychiatry has practically disappeared, analysts are under pressure to provide psychoanalytic service where it had not been indicated before. Nevertheless, she questioned the feasibility of achieving the goal of early and more accurate prognosis during the course of initial interviews. Aside from the importance of good intelligence, reality sense, capacity for emotional relationship, she stressed the feeling of need, of which the wish to get well is the greatest positive derivative. As to the complex conditions described by the author, these are often seen only in constellations or patterns which are brought out in the course of analytic work. This is especially true with respect to phenomena that may be expected to occur in the transference.
Dr. Albert A. Rosner pointed out that the author's consideration that some of the resistances come from the side of the ego reflects a beginning of understanding in terms of the degree of autonomy of sets or subsets of ego functionings. These are now endowed by some with a specific structural and functional identity,