AN ASPECT OF TRANSFERENCE: THE STRUGGLE TO BECOME AN

The patient’s efforts to enter into a collaborative relationship with the analyst, to become an analysand, are burdened with difficulties, of which a major one is the not infrequent intrinsic structuring of certain aspects of transferenceits functional, secondary autonomy, o r independence of i t s historical roots. The effect is to confuse and misrepresent, through a struggle by the patient that dissembles the major purposes of the work. The struggle is a function that has become independent of i t s historical origins, and is now less an anxiety-driven defense than an automatized, concrete seeking of a vaguely plausible, rationalized satisfaction and security. It represents the patient’s effort to work his o r her way to closeness with the surrogate, but with distancing by means of control and domination. I t lacks the symbolism and metaphor of unconscious derivatives. A mutual responsiveness by the analyst is a potentially undesirable outcome. Recognizing an interactional process, there is the necessity of clarifying a future-oriented process by a patient, who is working over the establishing of a dominant self-image of integrity and secu-rity without intimacy. Illustrative vignettes and a comparison with role responsiveness are included. ne of the starker facts of psychoanalytic practice is that 0 the actions involved in becoming an analysand do not develop naturally and uneventfully. Becoming a participant in a collaborative psychoanalytic dyad is not the straightfonvard outcome of good motivation, psychological aptitude, and the reduction of resistance. It includes the hazards of an expanding openness to regression, including an approximation to free association, and, not least, growth of an observing ego that operates in affiliation with the analyst’s work ego, or analyzin