(1983) Contemp. Psychoanal., 19:389-422
The Patient as Interpreter of the Analyst's Experience
Irwin Z. Hoffman, Ph.D.
Introduction
THIS PAPER PRESENTS A POINT OF VIEW on the psychoanalytic situation and on psychoanalytic
technique through, in part, a selective review of the literature. An important underlying assumption of the paper is
that existing theoretical models inevitably influence and reflect practice. This is often true even of models that
practitioners claim they do not take seriously or literally. Such models may continue to affect practice adversely as
long as their features are not fully appreciated and as long as alternative models are not recognized or integrated.
An example of such a lingering model is the one in which the therapist is said to function like a blank screen in the
psychoanalytic situation.
The Resilience of the Blank Screen Concept
The psychoanalytic literature is replete with attacks on the blank screen concept, the idea that the analyst is not
accurately perceived by the patient as a real person, but that he serves rather as a screen or mirror to whom various
attitudes, feelings, and motives can be attributed depending upon the patient's particular neurosis and its
transference expression. Critiques of this idea have come from within the ranks of classical Freudian analysts, as
well as from Kleinians and Sullivanians. Even if one looks only at the classical literature, in one way or another, the
blank screen concept seems to have been pronounced dead and laid to rest many times over the years. In 1950, Ida
Macalpine, addressing only the implications for the patient's experience of classical psychoanalytic technique as she
conceived of it (that is, not considering the analyst's personal contributions), said the following:
It can no longer be maintained that the analysand's reactions in analysis occur spontaneously. His behavior is
a
response to the rigid infantile setting to which he is exposed. This poses many problems for further investigation.
One of them is how does it react upon thepatient? He must know it, consciously or unconsciously (p. 526, italics
added)
.
Theresa Benedek said in 1953:
As the history of psychoanalysis shows, the discussion of countertransference usually ended in a retreat to defensive
positions. The argument to this end used to be (italics added) that the classical attitude affords the best guarantee that
the personality of the therapist (author's italics) would not enter the action-field of the therapeutic process. By that
one assumes that as long as the analyst does not reveal himself as a person, does not answer questions regarding his
own personality, he remains unknown as if without individuality, that the transference process may unfold and be
motivated only by the patient's resistances. The patient—although he is a sensitive, neurotic individual—is not
supposed to sense and discern the therapist as a person (p. 202).
In 1956 Lucia Tower wrote:
I have for a very long time speculated that in many—perhaps every—intensive analytic treatment there develops
something in the nature of countertransference structures (perhaps even a "neurosis") which are essential
andinevitable counterparts of the transference neurosis (p. 232)
.
Copyright . 1983 W. A. W. Institute, New York
20 W. 74th Street, New York, NY 10023
All rights of reproduction in any form reserved.
Contemporary Psychoanalysis, Vol. 19, No. 3 (1983)