Meetings of the New York Psychoanalytic Society

DISCUSSION: Dr. Louis Kaywin questioned in what category Dr. Tarachow placed psychoanalytically-oriented psychotherapy. Did he omit it or place it with psychoanalysis? Presuming that Dr. Tarachow distinguishes between transference neurosis and transference derivatives, we can say that: 1, psychoanalysis functions and works by way of the transference neurosis; 2, psychoanalytically-oriented psychotherapy recognizes the transference neurosis but works only with transference derivatives: 3, other psychotherapies may use various approaches including watered-down analytic principles. Dr Kaywin felt that Dr. Tarachow's use of the words 'real' and 'reality' posed a problem. What has to be distinguished relative to an object being real is what degree of objective elements (i.e., perceptions) are distorted by subjective elements. Dr. Kaywin agreed that we should not take a patient's manifest communications totally at face value. The problem of 'reality' also enters into Dr. Tarachow's first principle: 'To supply an infantile object in reality'. If this means that in every relationship we are seeking an infantile object, Dr. Kaywin feels that it may be a determinant, and that we also must consider other dimensions such as the development of secondary, relatively autonomous states with their own levels of needs, ego interests, and object relationships. He mentioned Hartmann's concept of a relative autonomy from the drives and Rapaport's idea that we achieve a relative autonomy from the environment, and felt that both of these concepts emphasize the ability to function relatively without objects, infantile or not. In relation to Dr. Tarachow's second principle: 'To supply and permit displacements', Dr. Kaywin wondered if this implied that every resultant of displacement must be considered to be merely of a substitutive nature with little economic and integrative advance. Dr. Kaywin emphasized the need to take a more equidistant