ABSTRACT

In the literature on perversion, so far as I can ascertain, there is great deal about the meaning of various perversions, die mechanisms involved and similar aspects, but a paucity of detailed clinical reporting. This lack is unfortunate, since my impression is that, while one may deduce a great deal from these patients’ symptoms, activities, and history, this is therapeutically comparatively useless unless one can analyse the manifestations of the perversion in the transference. One would expect that the main aspects of the perverse symptomatology will appear in the transference if only one can locate them. This may not appear particularly difficult with more overt sadistic perversions, but can be very tricky with certain apparently unaggressive perverts and fetishists, particularly perhaps those whose material is very repetitive and whose behaviour seems somewhat passive.