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May 15, 1961. THE THEORY OF PSYCHOANALYTIC THERAPY: A PANEL DISCUSSION.
SOME ASPECTS OF THEORY OF PSYCHOANALYTIC THERAPY. Sidney Rubin, M.D.
Dr. Rubin presented a survey of the interrelationships in the development of psychoanalytic theory and correlated changes in psychoanalytic therapy. The first nodal point of historical development is the dynamic formulation implicit in the statement that 'our hysterical patients suffer from reminiscences'. Repression of the unwelcome reminiscences and their affects is manifested by resistance. The abandonment of the cathartic method and the introduction of free association complemented this dynamic theoretical clarification and aided in the evolution of a definitive technique. Following this, transference and resistance were more clearly understood. The metapsychological papers of 1913-1915 brought about a more lucid conception of the psychic apparatus in topographical terms, with a corresponding clarification of how to deal with transference and resistance. The delineation of the structural hypothesis and the new concept of anxiety marked the beginning of an intensive study of ego psychology. This brought a therapeutic advance with attention focusing on ego defenses and the reality aspects of the patient's behavior. Hartmann's work, stressing the role of adaptation in the