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March 13, 1962. THE MEANING OF THE ANALYST AFTER ANALYSIS. Arnold Z. Pfeffer, M.D.
In previous papers Dr. Pfeffer reported a method for evaluating the results of psychoanalysis which yielded two striking and unexpected findings. First, the patient dealt with the follow-up study as though it were analysis and with the follow-up analyst as though he were the treating analyst. Second, the patient manifested a transient intensification of residual symptoms or transient recurrence of the symptoms for which the analysis was first sought. The present paper examines the possible meaning of these phenomena and suggests their practical use in the evaluation of results.
To illustrate these two phenomena, a follow-up study is presented of a woman whose analysis had been highly successful. During follow-up she had a brief recurrence of symptoms and developed sexual fantasies toward the follow-up analyst of the same nature as with her treating analyst, and defended against them in the same way.
Through its similarity to the original analytic situation, the patient readily regresses in the follow-up as he had learned to do during treatment. Follow-up