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April 17, 1978. TRUTH FROM GENETIC ILLUSION: THE TRANSFERENCE AND THE FATE OF THE INFANTILE NEUROSIS. Joseph T. Coltrera, M.D.
Stressing that consistency and accuracy of genetic interpretation and reconstruction are essential to an effective working through process if an analysis is to enhance the synthetic and integrative functions of the ego, Dr. Coltrera raised several questions concerning the tendency to deal with the transference neurosis solely in dynamic terms. Noting Freud's distinction between interpretation and reconstruction and his emphasis on causality and discursive reasoning in his investigative and therapeutic interventions, Coltrera suggested that the legacy of these traditional influences on current analytic practice includes the slighting of preoedipal and nonverbal determinants and the concentration on manifestations of dynamic phenomena in the present. Focusing on the ongoing features of the transference tends to equate working through with the elucidation of patterns of wish and defense as they currently appear, to the neglect of an understanding of the genetic antecedents of the instinctual components of transference resistances. This