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opportunity of speaking <strong>to</strong> the relatives of the patient he hears with pleasure<br />

that this esteem is returned. At home the patient never tires of praising the<br />

physician, of prizing advantages which he constantly discovers. "He adores<br />

you, he trusts you blindly, everything you say is a revelation <strong>to</strong> him," the<br />

relatives say. Here and there one of the chorus observes more keenly and<br />

remarks, "It is a positive bore <strong>to</strong> hear him talk, he speaks only of you; you are<br />

his only subject of conversation."<br />

Let us hope that the physician is modest enough <strong>to</strong> ascribe the patient's<br />

estimation of his personality <strong>to</strong> the encouragement that has been offered him<br />

and <strong>to</strong> the widening of his intellectual horizon through the as<strong>to</strong>unding and<br />

liberating revelations which the cure entails. Under these conditions analysis<br />

progressed splendidly. The patient understands every suggestion, he<br />

concentrates on the problems that the treatment requires him <strong>to</strong> solve,<br />

reminiscences and ideas flood his mind. The physician is surprised by the<br />

certainty and depth of these interpretations and notices with satisfaction how<br />

willingly the sick man receives the new psychological facts which are so hotly<br />

contested by the healthy persons in the world outside. An objective<br />

improvement in the condition of the patient, universally admitted, goes hand<br />

in hand with this harmonious relation of the physician <strong>to</strong> the patient under<br />

analysis.<br />

But we cannot always expect <strong>to</strong> have fair weather. There comes a day when<br />

the s<strong>to</strong>rm breaks. Difficulties turn up in the treatment. The patient asserts<br />

that he can think of nothing more. We are under the impression that he is no<br />

longer interested in the work, that he lightly passes over the injunction that,<br />

heedless of any critical impulse, he must say everything that comes <strong>to</strong> his<br />

mind. He behaves as though he were not under treatment, as though he had<br />

closed no agreement with the physician; he is clearly obsessed by something<br />

he does not wish <strong>to</strong> divulge. This is a situation which endangers the success<br />

of the treatment. We are distinctly confronted with a tremendous resistance.<br />

What can have happened?<br />

Provided we are able once more <strong>to</strong> clarify the situation, we recognize the<br />

cause of the disturbance <strong>to</strong> have been intense affectionate emotions, which<br />

the patient has transferred <strong>to</strong> the physician. This is certainly not justified<br />

383

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