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Reply to Doctor Lipton. Mark Kanzer. Pp. 46-52.
Suggesting that Freud did not change his technique after his analysis of the Rat Man, Lipton claims that codification of stereotypic and rigidified procedures in "standard analyses" can obscure the patient's capacity for establishing an object relation with the analyst. If this occurs, the patient may appear sicker (have a narcissistic disorder) than he actually is. To illustrate, Lipton uses excerpts from a case report Kanzer designated as illustrative of standard technique. Lipton asserts that in the hour reported Kanzer pre-emptively inferred the meaning of some behavior and associations and used the consistent silence of the analyst to hide the prematurity of his conclusions. Lipton also felt that the patient had become too compliant and that this element of the transference went unanalyzed because of the analyst's