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DISCUSSION: Dr. Mark Kanzer stated that the inner core of the semiparanoid persons who emerge from these analyses is the frustrated and terrified child with oral drives inhibited because avenues of motor discharge were not developed in the mothering process. Instead, the successors of hallucinatory wish fulfilment—the dreamy states and ultimately the ego ideal—were preferred methods of binding excitation. The dreamlike fusions with the analyst were threatened with disruption.
In disentangling the contributory sources of Mr. D's excited states, Dr. Kanzer was inclined to focus on the 'resistances that offer the presenting point at the given moment'. Mr. D appeared in the analysis after a period of silence and the patient's assumption of omnipotence by turning around to look at the analyst. The patient braves the danger of mutual annihilation from daring to establish contact with the parent in the real world. The dreams and idealization represent a retreat as forepleasure mounts toward end pleasure while the motility, 'looking danger in the face', probably represents a therapeutic advance.
Dr. Kanzer recalled Freud's observation that the superego is a structure while