ABSTRACT
In America the development of psychoanalysis was particularly driven by the needs of psychiatry and psychiatric patients. One way of looking at the relations between psychoanalysis and psychoanalytic psychotherapy is to take an evolutionary analogy. In fact, any therapy, whether psychoanalysis or psychoanalytic psychotherapy, is probably a mixture of analysis, suggestion, and support. Prior to the First World War, Sigmund Freud was embattled, particularly against Pierre Janet, His difficulty was that he began his career as a psychotherapist by studying the French suggestive therapies. The average frequency of transference interpretations in the psychoanalytic and in the psychoanalytic psychotherapy populations may be quite separate, but the spread in the frequencies of transference interpretations in the work of individual practitioners merges with each other. Psychoanalysts "need" to shut the door on psychoanalytic psychotherapy while acknowledging the interest of psychotherapists in psychoanalytic ideas and practice, and while agreeing to train them.
