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This paper and the two that follow are discussions of the same clinical case from intrapsychic, object relations, and self psychology perspectives. The case, which is not abstracted here, was selected as typical, and the analyst involved was identified as having been classically trained.
Schlesinger's position is that of the classical intrapsychic analyst, and his focus of clinical attention is the microstructure of the analytic session. He discusses the case in terms of a dynamic unconscious and organizes the material with concepts such as transference interpretations, defense maneuvers, oedipal conflict, and penis envy. He gives a new metaphor for structural change and discusses his interest in the microstructure of the analytic session. Like the other two discussants, he is interested in knowing more about the actual give-and-take of the analysis. Although interested in what the analyst was thinking and feeling, he seems to pay more attention, compared to the other discussants, to the patient's reactions to the analyst. He focuses on the flux created by interpretation and the potential for therapeutic change brought about by this flux. Very specific and helpful examples are given of the patient's response to interpretations and the primary significance Schlesinger attaches to this.