¶ … transference and transference love, as it is manifest in the psychoanalytic environment. Different therapists have recommended different methods of dealing with this love, which range from simple, knowing transference to idealized transference, and erotic transference. These range from exploring such issues verbally, to the use of surrogates for sex therapy, to sexual involvement with patients. Certain factions within the therapeutic community advocate some or none of these methodologies.
Answering his own question, "What are transferences?" he wrote: "A whole series of psychological experiences are revived, not as belonging to the past, but as belonging to the person of the physician at the present moment.... Psychoanalytic treatment does not create transferences, it merely brings them to light.... Transference, which seems ordained to be the greatest obstacle to psychoanalysis, becomes its most powerful ally if its presence can be detected each time and explained to the person" (1895:116-120). Freud went on to note erotic manifestations of transference, which he deals with in his work on 'transference-love'in Observations on Transference-love (1915a), Freud comments on the paradox by which this form of transference is countered by resistance. However, it also offers the opportunity for "bringing all that is most deeply hidden in the patient's erotic life into her consciousness and therefore under her control" (1915a) through discovering the nature of the patient's most primitive object. It is obvious, however, that Freud had his groupies, as there was a certain brand of women "accessible only to the logic of soup, with dumplings for arguments" -- a rather unfortunate metaphor for those patients whom today we would describe as not sufficiently "psychologically minded." Freud prompted his audience of practitioners against the dangers of counter-transference, in which the therapist reacts to emotions related to transference in his or her patients. Later therapists established that these could be reciprocal or could even result in reprehension or disgust.
When Freud practiced psychotherapy in the early decades of the 20th century, he noted that his attentiveness to patients' needs and problems would illicit a positive response from his patients. He first used the word transference in 1895, in Studies on Hysteria, where he described transference as a "false connection" (Freud, 1895:302). The relationship between transference and love is far from well-defined. This is because the range of feelings harbored by one experiencing some manner of transference can be expected to be at least partially hidden from the analyst, if not from the patient as transference is usually unwitting and subconscious. Given this knowledge, transference could result in love even if this is not realized immediately by the analyst or the patient.
In The Dynamics of Transference (1912) Freud went on to distinguish positive from negative transferences; he then subdivided positive transferences into conscious, friendly, or affectionate feelings and unconscious, erotic positive feelings. For instance, a patient may feel that she is able to get along with her therapist in that he reminds her of a mentor from her childhood; she also can be unwittingly responding to simmilar sensory perceptions that accompanied a previous love interest. Whereas Freud considered positive, conscious transferences as aspects of a therapist-patient relationship that was conducive to recovery in that it built trust and respect; he described these feelings as admissible to consciousness and unobjectionable, persists and is the vehicle of success in psychoanalysis exactly as it is in other methods of treatment" (p. 105).
Freud believed that transference resulted from compulsive repetition. "The patient is obliged to report present material as a contemporary experience instead of, as the physician would prefer to see, remembering it as something belonging to the past. These reproductions... are invariably acted out in the sphere of the transference" (Freud 1920:18). He felt that the subject forgot the original object of strong emotions but that the process of creating these strong emotions remained with the patient. This made the analyst the new object of past libidinal interest.
To refer to this transference as 'love' would be to make several key assumptions about the nature of love. It is to say that love is not only the response to stimuli provided by an external source, but that the essential nature of this source that caused the transference was the perception of a recurring positive relationship. In that the conscience is unable to rule this out as merely a 'professional' relationship, it assigns sexual attractions to the psychoanalyst due to the subconscious need for another person. It can be said that a feeling chooses an object rather than having been inspired...
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