British Journal of Medical Psychology. XXXVIII, 1965: Some Metapsychological Aspects of Interpretation. Clifford Yorke. Pp. 27-42.

Yorke assembles present-day theoretical understanding of interpretation and attempts to integrate it with the insights of modern ego psychology. A vast literature is surveyed. One of the main points is the differentiation between the use of interpretation in psychoanalysis versus its use in other forms of dynamic psychotherapy. Regression in the service of the ego plus the modification of the superego represent the structural details of differentiation. The economic and dynamic aspects of the transference neurosis are also surveyed. A differentiation is defined between acting in the transference and acting out. A scholarly discussion of the metapsychology of interpretation follows. The concept of the representational world and self-representation is discussed and practical applications of the author's integration of this theoretical material are offered in the last section of the paper. The danger of acquiring deep interpretive material without the proper analytic framework is described, e.g., the possibility of acting out due to frustration. There is a discussion of confrontation and clarification as therapeutic devices which allow insights without controlled analytic regression. The analyst may use these techniques to meet a variety of situations.