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WPA Series (Evidence and Experience in Psychiatry. Vol 2. Schizophrenia. Chichester (Wiley) 1999.
(1999)
The development of the concept of transference led to an early differentiation into varying methods and objects of transference analysis, referred to in this paper as ?work on transference? and ?work in transference?. Work on transference applies to the objectifiable aspect of transference as expressed in the stereotyped, recurrent behaviour of the patient outside as well as within the analytical setting, in the present and the past. Work in transference accepts the patient's current conception of the relationship, taking it further as a conflictfilled and sometimes stressful dialogue. Work on transference often includes genetical reconstructions and makes it possible for the patient to gain rational insights into the constant features of his experience and behaviour. Its main benefit takes the form of enhanced perception. Work in transference is aimed at change: it allows the patient to work through the internalized conflicts in relationships during discussion with the analyst, and, in his way to attain new conceptions for action and new object representations.
This paper attempts to reassess Elizabeth Severn's place in the history of psychoanalysis. It does so by focusing on her three out of print books, which until now have been overlooked in discussions of the patient Ferenczi called ?RN? in the Clinical Diary. Her first two books, written in 1913 and 1917, provide the reader with valuable glimpses into what was the pre-analytic mind and person of Elizabeth Severn before she began what would be a ground breaking eight year analysis with Ferenczi. A key to understanding Elizabeth Severn, her writings, as well as many of our traumatized patients lies in a what Ferenczi and Severn called ?Orpha?. The paper suggests that an appreciation of this obscure phenomenon is critical in the treatment of trauma. After investigating her first two books in light of Orpha, the paper will compare and contrast them with her last book, The Discovery of Self, written toward the end of her analysis, and published shortly after Ferenczi's death in 1933. The tone, texture and content of this third book is strikingly different from her first two books, suggesting a depth of healing in Severn not previously reported in the literature.
They Shall Wear Fringes
(1999)