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DISCUSSION: Dr. Peter Neubauer felt there was substantial evidence that the analysis had produced significant transformation of the patient's central conflict. He pointed out how creative, articulate, and successful both the patient and the analyst were in this endeavor. He wondered about the effect of the patient's ego deviations on the course of the analysis and its termination. Throughout her life there was an underlying pull toward fusion and a lack of differentiation and integration which disturbed the process of individuation.
Dr. Walter Stewart reviewed the genetic factors in the patient's neurosis, emphasizing the immobilization due to her deformed foot. He commented on aspects of the treatment, including details of the drawings. The important defenses of the patient were, he believed, active over passive, reversal, identification with the aggressor, and the use of an object as a prosthesis.