TECHNIQUE

Question 1

All neuroses can be traced back to the conflict between _______________ instinctual demands - among which the sexual demands of early childhood are never missing - and the _______________ which ward them off.

The failure to resolve this conflict produces what?

Answer 1

REPRESSED ; EGO FORCES

The result of the failure to resolve this conflict is the neurotic symptom or the neurotic character trait.

Question 2

The “elimination of the repression” is represented by _______________.

Answer 2

The making conscious of the unconscious conflict.

This is later shown to be incomplete since insight to illness alone isn’t enough to eliminate resistances.

Question 3

In the process of “elimination of the repression”, the preconscious erects _______________ which act as a strict censor of one’s own thoughts and desires by preventing them from becoming conscious.

Answer 3

COUNTER-CATHEXES

Question 4

The patients conscious attitude that represents an attempt at continued free association during the course of analytic therapy.

Answer 4

BASIC RULE (or FUNDAMENTAL RULE)

Whichever of the two terms is used depends on translation.

Question 5

Free association (and the basic rule attitude) finds a powerful support in the force of the unconscious impulses and desires pressing toward action and consciousness, but opposition namely by the _______________ of the ego.

Answer 5

COUNTER-CATHEXES

Question 6

Counter-cathexes make it difficult and sometimes impossible for the patient to follow the basic rule. These same forces also feed the neurosis through the moralistic agencies. In analytic treatment, these forces show up as _______________ to the elimination of the repression.

Answer 6

RESISTANCES

Question 7

In traditional resistance analysis, the making conscious of the unconscious must not proceed directly but by the ____________________.

Answer 7

BREAKING DOWN OF THE RESISTANCES

Question 8

The work of making the unconscious conscious. It consists either in the unveiling of veiled expressions of the unconscious or in the reestablishment of relations which were torn asunder by the repressions.

Answer 8

INTERPRETATION

Question 9

The patient’s unconscious content is constantly seeking contact with real persons and situations. The most important driving force of this behavior is the patient’s _______________

Answer 9

UNGRATIFIED LIBIDO

Question 10

The process and result of the patient’s unconscious demands and fears being related (or directed) to the analyst and the analytic situation. The establishment of relationships to the analyst which are prompted by hate, love, or fear.

Answer 10

TRANSFERENCE

Question 11

Since, in the transference, the patient either tries to supplant the explanatory work of the analysis, e.g., by gratifying the old love demands and hate impulses which have remained unsatisfied, or refuses to take cognizance of these attitudes, the transference usually develops into a _______________, i.e., it impedes the progress of the treatment.

Answer 11

RESISTANCE

Question 12

The _______________ transferences are easily recognized from the beginning.

Answer 12

NEGATIVE

Question 13

The _______________ transference becomes a manifest resistance only through a sudden change into a negative transference as a consequence of disappointment or fear.

Answer 13

POSITIVE

Question 14

Positive transferences cover the presence of a _______________ negative transference.

Answer 14

LATENT

Question 15

In regards to “analytic passivity”, the analyst is to allow the technique of a given situation to grow out of the ____________________ itself by an exact analysis of its details.

Answer 15

SPECIFIC ANALYTIC SITUATION

Question 16

In an investigation of the prognosis of average conditions, it was shown that, under otherwise equal conditions, the chances of cure were that much more favorable the more completely _______________ had been achieved in childhood and adolescence.

Answer 16

GENITAL PRIMACY

Or, to put it another way, the cure was impeded to the extent to which the libido had been withheld from the genital zone in early childhood.

Question 17

This is a metapsychological point of view described best by the mere translation of an unconscious idea into consciousness. (This alone has been proved inadequate to effect a cure).

Answer 17

TOPOGRAPHICAL point of view

Question 18

This is a metapsychological point of view described best by the abreaction of the affect related to an unconscious idea which almost always (but only temporarily) alleviates the patient’s condition.

Answer 18

DYNAMIC point of view

Question 19

This is a metapsychological point of view described best by an inadequate, disturbed libido economy; the normal biological functions of the patient’s sexuality are in part pathologically distorted, in part completely negated - both contrary to the average healthy person.

Answer 19

ECONOMIC point of view

Question 20

It is important for the prognosis of an analysis to determine whether the capacity to achieve _______________ is intact.

Answer 20

SEXUAL GRATIFICATION

Question 21

The actual neurosis which results from dammed-up libido where the problem of locating quantity is sought (and found).

Answer 21

SOMATIC CORE

Question 22

In the process of dynamic interpretation, it is only the _______________ of a symptom that becomes conscious.

Answer 22

IDEATIONAL CONTENT

Question 23

It is only after required ______________ gratification (because the pregenital cannot produce an orgasm) that a permanent resolution of tension can take place. This economic readjustment is made possible by analysis.

Answer 23

GENITAL

Question 24

The ultimate therapeutic agent is an organic process in the ____________________ economy, a process which is related to the sexual gratification achieved in the genital orgasm and, with the elimination of the somatic core, also erodes the groundwork of the psychoneurotic superstructure.

Answer 24

METABOLIC SEXUAL ECONOMY

Question 25

At the outset, when the neurosis begins to develop, an external inhibition (tangible fear), which then becomes internalized, produces the _______________, which in turn imparts its pathological energy to the experiences of the oedipal stage and, perpetuated as a consequence of sexual repression, keeps the psychoneurosis constantly supplied with energy in a kind of cyclic motion.

Answer 25

ENERGY STASIS

(bioenergetic stasis) or (orgonotic stasis)

Therapy works in reverse order in that it first breaks down the psychoneurosis by making conscious the unconscious inhibitions and fixations, thus opening the way to the elimination of the libido stasis. Once this stasis has been eliminated, again in a kind of cycle, the repression and the psychoneurosis have also become unnecessary, indeed impossible.

Question 26

With respect to the role of the somatic core of the neurosis, a framework and clearly defined therapeutic goal for the technique of analysis:

Answer 26

The establishment of genital primacy, this is to say, the patient must, through analysis, arrive at a regulated and gratifying genital life - if he is to be cured and permanently so.

Question 27

In analytic work, we have to differentiate two parts: the _______________ of the patient and his _______________ insofar as this is possible in the course of treatment.

Answer 27

RECOVERY and IMMUNIZATION

The recovery too falls into two parts: the preparatory work of the introductory period and the actual healing process.

Question 28

The goal toward which the analysis must advance from the introductory period is to reach the _______________ source of the symptoms and the neurotic character trait in order to set the healing process in motion.

Answer 28

ENERGETIC

Question 29

Obstructing the aim of analysis are the patient’s resistances, the most tenacious of which are those which derive from the _______________ conflicts.

Answer 29

TRANSFERENCE

Question 30

Process of pathogenic remembrances emerging spontaneously and effortlessly when the somatic emotions break through the muscular armor.

Answer 30

AFFECTIVE REANIMATION

Clinical experience confirms that the patient who likes to reenact what he has experienced not only must understand what he enacts but also must remember affectively if he is to get at the core of his conflicts.

Question 31

A case which fails to achieve a cure because, as a result of the many heterogeneous transferences, the analyst is no longer able to keep track of the welter of unearthed material.

Answer 31

CHAOTIC SITUATION

Question 32

Failure to recognize a latent negative transference is a general occurrence and can be traced to what?

Answer 32

ANALYTIC NARCISSISM, which makes analysts highly receptive to compliments but quite blind to all negative tendencies in the patient unless they are crudely (and objectively) expressed.

Question 33

If we look for the causes of such chaotic situations, we soon see that the technique of interpretation falls short on the following four points:

Answer 33

1.) PREMATURE INTERPRETATION of meaning

2.) UNSYSTEMATIC INTERPRETATION of meaning

3.) UNSYSTEMATIC INTERPRETATION of resistances

4.) INCONSISTENT INTERPRETATION of transference resistances

Question 34

Technique that typically leads to a chaotic situation in which the meaning of the symptoms and other manifestations of the deep unconscious, particularly of symbols, is provided to the patient too early in analysis.

Answer 34

PREMATURE INTERPRETATION OF MEANING

Question 35

Technique that typically leads to a chaotic situation in which interpretation of the material is provided in the sequence in which it yields itself, without due consideration to the structure of the neurosis and the stratification of the material.

Answer 35

UNSYSTEMATIC INTERPRETATION OF MEANING

Question 36

Technique that typically leads to a chaotic situation in which interpretations are pursued in every direction and before the cardinal resistance has been worked through.

Answer 36

UNSYSTEMATIC INTERPRETATION OF RESISTANCES

Question 37

Technique that typically leads to a chaotic situation in which not enough attention is given to the fact that the patient has the tendency to conceal resistances anew, or, more specifically, to mask them by sterile accomplishments or acute reaction formations. The latent transferences are usually overlooked.

Answer 37

INCONSISTENT INTERPRETATION OF TRANSFERENCE RESISTANCES

Question 38

Every resistance has an historical meaning (origin) and a contemporary relevance. Affective interpretation begins by first divining the contemporary meaning and purpose of the resistance from the _______________ situation (the unfolding of which the analyst has observed) and from the form and mechanisms of the resistance, and then working through it with corresponding interpretations in such a way that the germane infantile material is brought to the surface.

Answer 38

CONTEMPORARY

Question 39

The attitudes on the part of the patient which are not expressed directly and immediately, i.e., in the form of doubt, distrust, tardiness, silence, obstinacy, apathy, etc., but indirectly in the analytic performance.

Answer 39

LATENT RESISTANCE

Question 40

Every case, without exception, begins the analysis with a more or less pronounced attitude of distrust and skepticism, which usually remains _______________.

Answer 40

CONCEALED

Question 41

What are some examples of a few typical cases in which we are most likely to encounter a latent negative transference?

Answer 41

• The “good” patients (always in positive transference without disappointment reaction)
• The rigidly conventional and correct patients (usually compulsive characters with PF reaction formations)
• Patients whose affects are paralyzed (also usually compulsive characters who exhibit flat affect, but also female hysterics who show a surface affect-paralysis)
• Patients who complain about the artificiality of their feelings and emotionality - suffer from depersonalization (play act, secret chuckle, etc.)

Question 42

As a general rule of analysis, the original neurosis only becomes accessible through the _______________ neurosis.

Answer 42

TRANSFERENCE

Question 43

To sketch an example of transference uncoiling, how would the following example be correctly analyzed?

A patient first develops a positive reaction (affect formation) toward a love-object, then a negative reaction toward another. He eventually (responding to frustration) withdraws the positive reaction from the original love-object out of fear (in this case) and converts the negative reaction into a passive-feminine (positive reaction formation) attitude.

Answer 43

If the resistance is correctly analyzed, it will be the passive-feminine attitude, i.e., the last result of his energetic (libidinal) development, that manifests itself first in the transference. Next, a systematic resistance analysis will bring out the negative reaction concealed behind this passive-feminine attitude, and only after this has been understood will a new cathexis of the positive reaction follow, at first through the transference of the positive reaction from the love-object to the analyst. From here, then, it can be transferred to something in real life.

Question 44

Achieved by correctly selecting the material that is to be interpreted; in this way, we are not only conversant with the existing situation at all times, but are also able to keep a close watch on the legitimacy with which the transference develops.

Answer 44

ANALYTIC CONTINUITY

Question 45

A reactivation of a resolved resistance that now presents itself with an analytic past.

Answer 45

CARDINAL REACTIVATION

Question 46

The character of the patient, which is itself a part of the neurosis and has developed on a neurotic basis. The obstacle which, as a precondition for analysis, the patient has to learn to overcome for analysis to proceed.

Answer 46

NARCISSISTIC BARRIER

Question 47

What are the two common methods of overcoming the narcissistic barrier (in say a patient who speaks in grandiloquent technical terminology)?

Answer 47

(1) Persuade a narcissistic patient that his behavior is detrimental to the analysis. (This method has shown to be largely ineffective.)

(2) Wait until the analyst understands why the patient behaves as he does. It may turn out, for example, that his ostentatious behavior is an attempt to cover a feeling of inferiority toward the analyst. (This method hasn’t found practical application in all types of cases, and so may not be an option despite it’s greater success.)

Question 48

Resistances that derive their special character not from their content but from the specific mannerisms of the person analyzed.

Answer 48

CHARACTER RESISTANCES

The compulsive character develops resistances whose form is specifically different from that of the hysterical character, the form of whose resistances, in turn, is different from that of the genital narcissistic, impulsive, or neurasthenic character.

(These character structures are older designations, and as such, most aren’t used in a modern bioenergetic characterology.)

Question 49

Neuroses with circumscribed symptoms are symptom neuroses, while neuroses without them are _______________ neuroses.

Answer 49

CHARACTER NEUROSES

In character neuroses, the neurotic character trait stands out more than any (if any) manifest symptom. We now know that the symptom neurosis is always rooted in a neurotic character, thus in every analysis, we are dealing with resistances that are manifestations of a neurotic character.

(All symptom neuroses are character neuroses but with manifest symptoms.)

Question 50

The sensing of a neurotic symptom as something alien that engenders a feeling of being ill or not right.

To contrast, the neurotic character trait is organically incorporated into the personality.

Answer 50

INSIGHT TO ILLNESS

Question 51

There are symptoms for which no insight, exists - typically regarded by the patient as “bad habits” or something that has to be accepted. There are also some character traits which are sometimes felt to be pathological. Generally, however, an insight to illness is indicative of a neurotic _______________, whereas a lack of insight points to a neurotic _______________.

Answer 51

SYMPTOM ; CHARACTER TRAIT

An example of a symptom would be conscious depressive reactions (sensed as something wrong), while an example of a character trait would be habitual shyness (part of the self - not sensed as alien to the self). Both could come from the same reaction basis.

Question 52

A sufficiently rational motivation developed for a character trait so as not to appear pathological or senseless.

Answer 52

RATIONALIZATION

Symptoms never exhibit such complete and credible rationalizations as character traits. Neither hysterical vomiting nor abasia; neither compulsive counting nor compulsive thinking can be rationalized. There is no question about the senselessness of a symptom.

Question 53

Along with rationalizations, there is a supplemental _______________ for neurotic character traits which is immediately rejected as absurd when it is applied to symptoms.

Answer 53

JUSTIFICATION

We often hear it said: “That’s simply the way I am.” The implication here is that the person concerned was born that way; he simply cannot behave differently - that’s his character. However, this does not tally with the facts, for the analysis of its development shows that the character had to become what it is, and not something else, for very specific reasons. Fundamentally, it is capable of analysis and of being changed, just like the symptom.

Question 54

In the process of analysis, it is shown that, in terms of its meaning and origin, the symptom has a very _______________ structure compared with that of the character trait.

Answer 54

SIMPLE

Theoretically, the reaction basis in the character can be worked out from any symptom.

Question 55

The economic function (as defensive armor) of the neurotic character trait is to establish a neurotic __________ to which analysis constitutes a great danger.

Answer 55

BALANCE

Question 56

A “compact defense mechanism” created by the whole of neurotic character traits which serves a definite economic function.

Answer 56

CHARACTER ARMOR

Question 57

The _______________ resistance remains the same in the same patient, regardless of content. Different characters produce the same material in a different way.

Answer 57

CHARACTER RESISTANCE

The positive father transference of a woman suffering from hysteria (hysteria-conversion syndrome would be a more modern term) is expressed and warded off differently than that of a woman suffering from a compulsive neurosis. Anxiety is the defense mechanism in the former; aggression in the latter.

Question 58

The process by which the patient’s character becomes a resistance. In everyday life, the character plays a role similar to the one it plays as a resistance in the treatment: that of a psychic defense apparatus.

Answer 58

CHARACTER ARMORING of the ego against the outer world and the id.

Question 59

Economically, the character in everyday life and the character resistance in the analysis serve as a means of: (3 things)

Answer 59

1.) A means of avoiding what is unpleasant (unlust)

2.) Establishing and preserving a psychic (even if neurotic) balance (homeostasis)

3.) Consuming repressed quantities of instinctual energy and/or quantities which have eluded repression.

Question 60

The binding of _______________ anxiety (or what amounts to the same) - the absorbing of dammed-up psychic energy, is one of the cardinal functions of the character.

Answer 60

FREE-FLOATING ANXIETY

Question 61

The immediate result of the analytic loosening of the character armor and the disruption of the narcissistic defense apparatus is twofold:

Answer 61

(1) The loosening of the affects from their reactive anchorings and concealments.
(2) The establishment of an entry into the central area of the infantile conflict, the oedipal conflict and the castration anxiety.

The contents of the infantile experiences are brought directly to analysis in the specific context in which they have been assimilated, i.e., in the form in which they have been molded by the ego.

Question 62

From the economic point of view, the task of handling the transference might best be formulated as follows: the analyst must strive to bring about a concentration of all object libido in a purely _______________ transference.

Answer 62

GENITAL TRANSFERENCE

Question 63

In that phase of the analysis when the essential fixations of the libido have been dissolved, when neurotic anxiety has ceased to be absorbed in symptoms and character traits, the ____________________ (with accompanying anxiety) becomes fully reactivated.

Answer 63

SOMATIC CORE (NEUROTIC CORE)

Question 64

The loosening, indeed breaking down of the character’s defense mechanism, which is necessary in order to free the largest possible amount of libido, temporarily causes the ego to become completely helpless. This can be described as the phase of the breakdown of ____________________.

Answer 64

SECONDARY NARCISSISM

Question 65

In the event of countertransference, what is the most telling sign that the analyst is warding off his own aggression?

Answer 65

AFFECT BLOCK (or possibly an excessively solicitous bearing)

Question 66

Analysts who are not sufficiently in control of their own sadism easily lapse into the well-known “_______________”, despite the fact that there are no satisfactory reasons for it.

Answer 66

ANALYTIC SILENCE

They regard the patient himself, rather than the patient’s neurosis, as an enemy who “does not want to get well.” Threats to break off the analysis and unnecessary setting of deadlines are not so much the result of an insufficiency in analytic technique as they are a lack of patience. The latter causes technique to fall short of its possibilities.