Transference neurosis is a term that
Sigmund Freud
Sigmund Freud ( , ; born Sigismund Schlomo Freud; 6 May 1856 – 23 September 1939) was an Austrian neurologist and the founder of psychoanalysis, a clinical method for evaluating and treating psychopathology, pathologies explained as originatin ...
introduced in 1914 to describe a new form of the
analysand
PsychoanalysisFrom Greek language, Greek: + . is a set of Theory, theories and Therapy, therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a bo ...
's infantile
neurosis
Neurosis is a class of functional mental disorders involving chronic distress, but neither delusions nor hallucinations. The term is no longer used by the professional psychiatric community in the United States, having been eliminated from th ...
that develops during the
psychoanalytic
PsychoanalysisFrom Greek: + . is a set of theories and therapeutic techniques"What is psychoanalysis? Of course, one is supposed to answer that it is many things — a theory, a research method, a therapy, a body of knowledge. In what might be ...
process. Based on
Dora's case history, Freud suggested that during therapy the creation of new symptoms stops, but new versions of the patient's
fantasies
Fantasy is a genre of fiction.
Fantasy, Fantasie, or Fantasies may also refer to:
Arts and entertainment Music
* Fantasia (music), a free-form musical composition
* ''Fantasie'' (Widmann), a 1993 composition for solo clarinet by Jörg Widmann
* ...
and impulses are generated. He called these newer versions "
transference
Transference (german: Übertragung) is a phenomenon within psychotherapy in which the "feelings, attitudes, or desires" a person had about one thing are subconsciously projected onto the here-and-now Other. It usually concerns feelings from a ...
s" and characterized them as the substitution of the analyst for a person from the patient's past. According to Freud's description: "a whole series of psychological experiences are revived not as belonging to the past, but as applying to the person of the analyst at the present moment". When transference neurosis develops, the relationship with the therapist becomes the most important one for the patient, who directs strong infantile feelings and conflicts towards the therapist, e.g. the patient may react as if the analyst is his/her father.
[Chessick, 2002]
Basic characteristics
Transference neurosis can be distinguished from other kinds of transference because:
# It is very vivid and it rekindles the infantile neurosis.
# It is generated by the feelings of frustration that the analysand inevitably experiences during sessions, since the analyst does not fulfill the analysand's longings.
# In transference neurosis the symptoms are not stable, but they are transformed.
# Regression and repetition play a key role in the creation of transference neurosis.
# Transference neurosis reveals the particular meanings that the analysand has given to current infantile relationships and events, which generate internal conflicts between wishes and particular defenses formed to strive against them. These meanings are united and create several transference patterns.
Resolution
Once transference neurosis has developed, it leads to a form of
resistance
Resistance may refer to:
Arts, entertainment, and media Comics
* Either of two similarly named but otherwise unrelated comic book series, both published by Wildstorm:
** ''Resistance'' (comics), based on the video game of the same title
** ''T ...
, called "transference resistance". At this point, the analysis of the transference becomes difficult since new obstacles arise in therapy, e.g. the analysand may insist on fulfilling the infantile wishes that emerged in transference, or may refuse to acknowledge that the current experience is, in fact, a reproduction of a past experience. However, the successful resolution of transference neurosis through interpretation will lead to the lifting of
repression and will enable the
Ego
Ego or EGO may refer to:
Social sciences
* Ego (Freudian), one of the three constructs in Sigmund Freud's structural model of the psyche
* Egoism, an ethical theory that treats self-interest as the foundation of morality
* Egotism, the drive to ...
to solve the infantile conflicts in new ways.
Furthermore, it will allow the analysand to recognize that the current relationship with the analyst is based on repetition of childhood experiences, leading to the detachment of the patient from the analyst.
The replacement of the infantile neurosis by transference neurosis and its resolution through interpretation remains the main focus of the classical psychoanalytic therapy. In other types of therapy, either the transference neurosis does not develop at all, or it does not play a central role in the therapy process.
[Reed, 1994, Shaw, 1991, Tyson, 1996, at Meissner, 2001] Although it is more likely for transference neurosis to develop in psychoanalysis, where the sessions are more frequent, it may also appear during psychotherapy.
See also
References
{{Reflist
Sources
# Sigmund Freud, "Case Histories 1 – Dora and Little Hans", The Penguin Freud Library, Volume 8, 1990.
# R. Horacio Etchegoyen, "The Fundamentals of Psychoanalytic Technique", Karnac Books, London, 1991.
# Richard D. Chessick, "Psychoanalytic Peregrinations I: Transference and Transference Neurosis Revisited", Journal of the American Academy of Psychoanalysis, 30(1), 83–97, 2002.
# W. W. Meissner, "A Note on Transference and Alliance: I. Transference – Variations on a Theme", Bulletin of the Menninger Clinic, Vol. 65, No. 2 (Spring 2001.
# "Transference Neurosis" International Dictionary of Psychoanalysis. The Gale Group, Inc, 2005. Answers.com http://www.answers.com/topic/transference-neurosis.
# "Resolution of the Transference" International Dictionary of Psychoanalysis. The Gale Group, Inc, 2005. Answers.com http://www.answers.com/topic/resolution-of-the-transference.
# Stephen A. Mitchell, Margaret J. Black: "Freud and Beyond: a History of Modern Psychoanalytic Thought". Basic Books, 1995.
Psychoanalytic terminology
Freudian psychology