ABSTRACT

K. Abraham’s position–that the transference should be left alone–is greatly at variance with analytic technique, which suggests that it is precisely the transference that should be the focus of analytic work, so that the conflictual part can be analysed and transformed. In Kleinian technique, the transference is seen as the expression of the patient’s unconscious fantasy, constructed with the projections of his internal world. The psychotic transference corresponded to a delusional contamination of the transference caused by the invasive workings of the delusional imagination. The psychotic transference includes the figure of the analyst in the patient’s delusional world, whereas transference psychosis corresponds to a psychosis concentrated exclusively on the figure of the analyst. In the psychotic state, symbolic interpretations do indeed have the effect of stimulating the delusional perception and contributing to the loss of the sense of reality.