Transference neurosis

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Psychoanalysis
ICD-9-CM 94.31
MeSH D011572
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Psychoanalysis
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Transference neurosis is a term that Sigmund Freud introduced in 1914 to describe a new form of the analysand's infantile neurosis that develops during the psychoanalytic process. [1] 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 and impulses are generated. He called these newer versions "transferences" 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". [2] 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. [3]

Sigmund Freud Austrian neurologist known as the founding father of psychoanalysis

Sigmund Freud was an Austrian neurologist and the founder of psychoanalysis, a clinical method for treating psychopathology through dialogue between a patient and a psychoanalyst.

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 the Diagnostic and Statistical Manual of Mental Disorders in 1980 with the publication of DSM III. It is still used in the ICD-10 Chapter V F40–48.

Dora (case study) Patient of Sigmund Freud

Dora is the pseudonym given by Sigmund Freud to a patient whom he diagnosed with hysteria, and treated for about eleven weeks in 1900. Her most manifest hysterical symptom was aphonia, or loss of voice. The patient's real name was Ida Bauer (1882–1945); her brother Otto Bauer was a leading member of the Austromarxism movement.

Contents

Basic characteristics

Transference neurosis can be distinguished from other kinds of transference because:

  1. It is very vivid and it rekindles the infantile neurosis.
  2. 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.
  3. In transference neurosis the symptoms are not stable, but they are transformed.
  4. Regression and repetition play a key role in the creation of transference neurosis.
  5. 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. [3]

Resolution

Once transference neurosis has developed, it leads to a form of resistance, 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 to solve the infantile conflicts in new ways. [3] 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. [4]

Psychological resistance

Psychological resistance is the phenomenon often encountered in clinical practice in which patients either directly or indirectly exhibits paradoxical opposing behaviors in presumably a clinically initiated push and pull of a change process. It impedes the development of authentic, reciprocally nurturing experiences in a clinical setting. It is established that the common source of resistances and defenses is shame, further its pervasive nature in trans diagnostic roles are identified.

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. [5] 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

Narcissistic neurosis is a term introduced by Sigmund Freud to distinguish the class of neuroses characterised by their lack of object relations and their fixation upon the early stage of libidinal narcissism. The term is less current in contemporary psychoanalysis, but still a focus for analytic controversy.

Psychoanalysis psychological theory that was founded in 1890 by the Viennese neurologist Sigmund Freud

Psychoanalysis is a set of theories and therapeutic techniques related to the study of the unconscious mind, which together form a method of treatment for mental-health disorders. The discipline was established in the early 1890s by Austrian neurologist Sigmund Freud and stemmed partly from the clinical work of Josef Breuer and others. Psychoanalysis was later developed in different directions, mostly by students of Freud such as Alfred Adler and Carl Gustav Jung, and by neo-Freudians such as Erich Fromm, Karen Horney and Harry Stack Sullivan. Freud retained the term psychoanalysis for his own school of thought.

Psychotherapy is the use of psychological methods, particularly when based on regular personal interaction, to help a person change behavior and overcome problems in desired ways. Psychotherapy aims to improve an individual's well-being and mental health, to resolve or mitigate troublesome behaviors, beliefs, compulsions, thoughts, or emotions, and to improve relationships and social skills. Certain psychotherapies are considered evidence-based for treating some diagnosed mental disorders. Others have been criticized as pseudoscience.

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References

  1. (Etchegoyen, 1991)
  2. Freud, 1977
  3. 1 2 3 Chessick, 2002
  4. The Gale group, 2005
  5. Reed, 1994, Shaw, 1991, Tyson, 1996, at Meissner, 2001

Sources

  1. Sigmund Freud, "Case Histories 1 – Dora and Little Hans", The Penguin Freud Library, Volume 8, 1990.
  2. R. Horacio Etchegoyen, "The Fundamentals of Psychoanalytic Technique", Karnac Books, London, 1991.
  3. Richard D. Chessick, "Psychoanalytic Peregrinations I: Transference and Transference Neurosis Revisited", Journal of the American Academy of Psychoanalysis, 30(1), 83–97, 2002.
  4. 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.
  5. "Transference Neurosis" International Dictionary of Psychoanalysis. The Gale Group, Inc, 2005. Answers.com http://www.answers.com/topic/transference-neurosis.
  6. "Resolution of the Transference" International Dictionary of Psychoanalysis. The Gale Group, Inc, 2005. Answers.com http://www.answers.com/topic/resolution-of-the-transference.
  7. Stephen A. Mitchell, Margaret J. Black: "Freud and Beyond: a History of Modern Psychoanalytic Thought". Basic Books, 1995.