
In this essay, I define the psychoanalytic concept of transference and its development in the hundred plus years since Freud’s discovery. I illustrate it with a clinical example of a patient’s transference to me. I follow by using the same structure; define, historicise and illustrate, for the concepts of countertransference and projective identification. How countertransference is used differs by analytic school and I make a reference to the differences between Freudians, Kleinians and Independents. These foundational concepts do not belong to the consulting room only. I reference how they inform the psychosocial worlds, notably race, before concluding.
Transference is a process. Its key is ‘displacement’, displacing an unconscious idea, from the object to which it was once attached, and on to the analyst. For Freud, what was transferred was a window into unconscious assumptions, via feelings that properly belong elsewhere (Frosh, 2012). In his ‘Dora’ case study, Freud (1905) had defined transference as “new editions or facsimiles of the impulses and phantasies … aroused during the progress of the analysis”. Transference, then, is the “actualisation of unconscious wishes” (Laplanche and Pontalis, 1967) and a form of the mother-infant dyad (Winnicott, 1960), an illusion where someone, not consciously recognised, represents something, which forms the basis for a repetition of a relationship with an important historic figure (Sandler, Dare and Holder, 1973). The impulses (Freud, 1937) have their source in the earliest object relations and come forth as a consequence of the compulsion to repeat. The analyst works to strengthen the analysand’s ego, so that there is less displacement and the gap between fantasy and reality becomes better understood.
Its discovery and its evolution began with the attachment formed by a patient of Freud’s colleague, Breuer, later anonymised as ‘Anna O’. (Freud, 1893). Freud’s original frustration with transference, that it was a resistance to the analysis, shifted to recognition that it made the therapeutic alliance about emotion (Freud, 1910, 1912, 1914). Freudians consider that treatment is about recognising how the analysand’s transference is informed by an attempt to gratify drives, designed to reduce unpleasure (Lemma, 2016). Freud’s initial focus, was on erotic and romantic transference. Therapy was effected by love, and early appreciation of what is now described as positive transference. The negative transference, (Klein, 1952) when an analysand brings forth hostile feelings from developmental relationships, was not really considered until Klein’s work. Kleinians believe hostility is linked to the death instinct, and that hatred and envy are innate. Klein also hypothesised that what might be transferred on to the analyst might be parts of the analysand’s self, such as the superego, rather than historic relationships. (Klein, 1952, 1957). Transference today is more a projection (Kleinian) model than a displacement (Freudian) one. Post-Kleinians, including Winnicott and Bion, look at the transference developmentally. Just as the mother receives the projections of the infant and moderates and mitigates, so that the infant can receive them back, so the analyst behaves for the patient. The analyst needs to remain alert and thoughtful, in a state of ‘reverie’ (Bion, 1962). All of the communications from the patient “contain something relevant to the transference situation”. (Segal, 1981)
To illustrate the concept, I share an experience from my personal clinical work: I have been working with a patient, ‘A’, who was largely raised by a disciplinarian stepfather, who appears to have had little affection for his stepson. His biological father left when he was three. In the transference, I am sometimes the stepfather: ‘A’ splits an eagerness to please me, to get it ‘right’, but also an anxiety that he will draw my ire. ‘A’’s childhood in his stepfather’s home was, as he recalls it, dominated by the demands to be useful, by completing a number of chores. At the outset of the therapy, he talked about decorating the NHS consulting room, if he had the right tools. I understood A’s inner world to be shabby and neglected, and his need to show he could be useful, and compliant. This is evidence of displacement, as are other times, when I sense I become A’s father, albeit idealised, as someone who was understanding and interested. What emerges then, is A’s infantile desire to be interpreted and loved. In my countertransference, I feel something parental and am reminded of the unconscious desire many therapists have to repair, something Klein (1952) highlights.
Countertransference like mine, is unresolved, unconscious elements within the analyst (Freud, 1910), evoking intense feelings. (Carpy, 1989) The analyst has an unconscious reaction, identifies the analysand’s role in bringing it about, and then examines the effect on both parties (Money-Kyrle, 1956). Freud had regarded it as an impediment that should be resolved by the analyst developing more ego strength in their own analysis. No analyst is “wholly free of infantile dependence” (Racker, 1948) and feelings and impulses are determined by the past, meaning that aspects of the Oedipal situation are repeated in every countertransference. Forty years after Freud’s anxieties about countertransference, Heimann (1950) redefined it as “an instrument of research” into the patient’s unconscious, because the analyst’s unconscious understands that of his patient. The analyst, is both an interpreter and an object of the impulses felt by the patient. Klein (1952), although prioritising the child’s phantasy life and unconscious phantasies, held similar views to Freud, claiming that only by analysing “the transference situation to its depths” could the past in both real and phantasy be understood. However, it is the ‘post-Kleinians’ (Bion, 1959, Segal 1975, Rosenfeld, 1987) that have been at the forefront of countertransference’s development. Currently, it is usually defined as being both the analyst’s own transference and the analyst’s response to the analysand’s transference.
Despite the significance of Ferenczi and Alice Balint’s views, that the analyst’s own feelings should be shared with the analysand (Heimann, 1950), little was written about countertransference until the end of the 1940’s (Racker, 1948). In developing Klein (1946), Winnicott (1947), had been amongst the first to grasp its significance for working with psychotic patient populations when describing hatred towards the patient. This is relevant for our contemporary understanding of issues like racism, founded upon the “irrationality of the unconscious” (Timimi, 1996). It was Heimann, though, that encouraged a more constructive view of something she felt was created by the patient; the aforementioned instrument of research. Klein (1952), who prioritised the child’s phantasy life and unconscious phantasies, rarely used the term countertransference until writing about the infantile roots for both parties in seeking ‘reassurance’ (1957). Ten years after Heimann, writing that the analyst needed to ‘sustain’ and not ‘discharge’ feelings, the word countertransference was “in danger of losing its identity” according to Winnicott (1960). He was inclined to Freud’s view and defined countertransference as “neurotic features” disturbing the analysis and spoiling the analyst’s “professional attitude.” Independents and post-Kleinians have been at the forefront of subsequent development, making it a “fertile, intersubjective field” (White, 2006). Winnicott (1963) and Bion (1965) looked at it developmentally, and Ogden (1994) has made it more about intersubjectivity, with his concept of the ‘analytic third’. More contemporary views are that the analyst should allow themselves to participate in the enactment required by the patient’s projections, in order to become conscious of the phantasy and emotion (Rosenfeld, 1971, Joseph, 1989, Bollas, 1987,1992).
In my work with a woman, ‘B’, I often find myself struggling to concentrate. I wonder if she is making me mad (Winnicott, 1960). I find myself wanting the sessions to come to an end and notice her need for attention, but how I seem to be resisting giving it. Her mother was diagnosed as schizophrenic, after ‘B’ reached adulthood. Her father left pre-adolescence and had a second family, so she has half-brothers. Everything about her world and world view appears to be influenced by splits. Her maternal care and her parents’ divorce concretised her views, I believe, and pulled her back from a developing depressive position to paranoid schizoid (Klein, 1946). I experience her as happiest when complaining about her family, friends, colleagues, and employment. I, guilty with inattention, sense a whining child, starved of gratification. Racker (1953) would suggest the patient is emotionally blocking and I am succumbing to “pampering”, initiated by my guilt at my wandering attention. By pampering, I re-focus intently and become a good Object for ‘B’, as the father was before he left. Sometimes my countertransference is paternally protective, (Money-Kyrle, 1956), but I think I often act out the neglectful mother, creating a guilt, which is a consequence of my inability to be a necessary container for her anxieties (Bion, 1959, 1962). This acting out has made me sympathetic to the Joseph, Rosenfeld and Bollas approaches.
Projective Identification, (PI), pre-dates Heimann’s constructive view of countertransference but had already transformed the transference/countertransference dynamic from a displacement to a projection focus (Klein, 1946). PI is an unconscious, omnipotent phantasy best captured by the lay phrase ‘giving someone a piece of my mind’. It is not everything that makes up the countertransference, (Heimann, 1950), but invariably seems to be the dominant feature in a therapeutic relationship; most commonly manifested as a part of the patient’s self, projected into the object (Segal, 1964) and where the projector is psychically aligned with the person into whom it has been projected. This is done, with the aim not simply of expulsion, but of using the projection to control the therapist, (Segal, 1981) inducing feelings or thoughts or by provoking forms of enactment. The object is transformed by the projection (Feldman, 2009). The projector fantasises taking over the therapist and influencing the recipient so that they think and respond in a way that is congruent with the projection (Ogden, 1982). The therapist processes what is projected, so that it can be palatably returned and the projector can introject what had needed expelling.
PI has been taken up by many theoreticians, notably Bion (1959, 1970), who adapted it by identifying what was projected as ‘beta elements’ that the therapist made sense of thanks to utilising ‘alpha function’, and then being able to reproject them. He considered that PI was understood as ‘a three-dimensional space’, into which patients projected the parts of their personality that they had split off. Klein thought that this was ‘observable’ in psychotic and borderline patients and Bion agreed with her that the ‘degree of fragmentation’ and the distance to which split-off fragments were projected was a measure of the distance a patient had from contact with reality. In his studies of the containment process (1959,1962), he observed how a mother takes in and allows herself to be affected by her infant’s projection of distress. The mother/analyst has not only contained an experience but transformed it. For some, enactment opens analytical work to “deep unconscious identifications and primitive levels of functioning” which are beyond the reach of the intellect, (Tuckett, 1997) albeit recognising one’s own feelings can be difficult (Brenman-Pick, 1985)
One of my experiences of PI came from a patient, ‘C’, presenting as depressed and unable to develop relationships. ‘C’ earned his PhD at Oxford, where his father was a fellow, while his grandfather was a celebrated and distinguished medic. He now edited a well-known scientific magazine, but felt his achievements were inferior to his family history, and he was ‘phoney’. (Winnicott, 1960). In our early work, he let me know that he thought that psychotherapy was “pointless”. Anyone working in the NHS, was probably unable to develop a private practise. He projected feelings of inferiority into me, in order to rid them from himself (Rosenfeld, 1987) and to enable him to adopt the superior status he associated with his father and grandfather. I found myself identifying with the intellectual inferiority, responding by making theoretical and technical interventions in the sessions. I became the boy he had been, desperately trying to show my academic and intellectual accomplishments to a demanding father. I was compliant and beginning a “defensive collusive arrangement” (Feldman, 2009). I had acted out something congruent with what had been projected into me, seeking attention and admiration. Once I became aware of what was happening, we were able to think about the competitive need for superiority. Eventually, he was able to introject the split off part and to accommodate it, recognising that he was still seeking parental love.
The concepts of transference, splitting and PI are fundamental to our psychosocial world. Klein (1952) asserted that transference operated throughout our lives influencing all relationships. Transference includes other significant figures beyond the parental couple, taking in the realm of the collective social unconscious. The social world contains multiple projected and introjected transference contents. External events, such as those affecting race or gender often catalyse a regression in psychic functioning activating defences. (Hamer, 2006) ‘D’, a Pakistani male patient of mine, projected his feelings of being unwelcome, on to outbursts against the Polish builders working on his apartment block, because of their use of their native tongue. He wanted to rid himself of being identified as an immigrant Other, and identify with my white, native born status. Reciprocal projective identifications can establish a preferred element of the self in the white. (Timimi, 1996). He may also have harboured suspicions of my unconscious and unexpressed attitudes to race. Racism might be transference in a regressed state (Hamer, 2006) characterised by splitting of the self, obscuring the ‘true self’ (Winnicott, 1960) to protect it from annihilation. Splitting is the psychoanalytic basis for racism (Timimi, 1996)
I have defined and illustrated the concepts of transference, countertransference and projective identification. In my work, I find I incline more to the Freudian displacement of past relationships, than to Kleinian split off parts of the self, but appreciate the contemporary use of enactment, intellectually and affectively. I like Racker’s (1948) observation that psychoanalysts choose their work based on “the object relations of infancy” and because of its reparative nature (Money-Kyrle, 1956), which seems rather Kleinian. Her assertion that transference operates all through our lives, influencing every relationship, is why I believe we need to apply what we can learn in the clinic to the world beyond; what the IPA’s podcast characterises as psychoanalysis “off the couch”. It requires a longer essay to do justice to the great psychosocial themes of race, ethnicity, religious marginalisation, sexual identity and fluidity, as well as social constructs around ‘normality’, disability and social class, but I have demonstrated the power of the unconscious, and how something once perceived as an impediment, is now a critical therapeutic tool.
References:
Balint, A & Balint, M. (1939) On transference and countertransference. International Journal of Psychoanalysis 20. pp.225-230
Bion, W.R. (1959) Attacks on Linking. International Journal of Psycho-Analysis, 40, pp. 308-15
Bion, W.R. (1962) Learning from Experience. London: Heinemann.
Bion, W.R. (1965) Transformations: Change from Learning to Growth. London: Heinemann.
Bion, W.R. (1970) Attention and Interpretation New York: Basic Books
Bollas, C. (1987) The Shadow of the Object: Psychoanalysis of the Unthought Known. London: FAB
Bollas, C. (1992) Being a Character: Psychoanalysis and Self-Experience London: Karnac
Brenman Pick, I. (1985). Working Through in the Countertransference. International Journal of Psycho-Analysis, 66, pp.157-166
Carpy, D.V., (1989). Tolerating the countertransference: A mutative process. International Journal of Psycho-Analysis, 70, pp. 227-241.
Feldman, M (1997) Projective identification: the analyst’s involvement International Journal of Psycho-Analysis, 78, pp.287-294.
Feldman, M. (2009). Doubt, Conviction and the Analytic Process: Selected Papers of Michael Feldman Hove, East Sussex. Routledge.
Freud, A (1937) The Ego and the Mechanisms of Defence. London: Hogarth Press Ltd.
Freud, S (1893) The Psychotherapy of Hysteria. In: SE2 Complete Psychological Works of Sigmund Freud pp. 253-305
Freud, S (1905) Fragment of an Analysis of a Case of Hysteria. In: SE7 Complete Psychological Works of Sigmund Freud
Freud, S (1910) The future prospects of psychoanalytic therapy. In: SE11 Complete Psychological Works of Sigmund Freud
Freud, S (1912) The Dynamics of Transference. In: SE12 Complete Psychological Works of Sigmund Freud pp. 97-108.
Freud, S (1914) Remembering, Repeating and Working Through. In: SE12 Complete Psychological Works of Sigmund Freud pp. 145-156
Frosh, S. (2012). A Brief Introduction to Psychoanalytic Theory. Basingstoke: Palgrave Macmillan.
Hamer, F. (2006) Racism as a Transference State Psychoanalytic Quarterly 75(1) pp. 197-214
Heimann, P (1950) On Countertransference International Journal of Psychoanalysis 31. pp. 81-84
Hinshelwood, R. (1999) Countertransference. International Journal of Psychoanalysis 80. pp. 797-818
Joseph, B. (1985). Transference: The Total Situation. International Journal of Psychoanalysis 66. pp.447-454
Joseph, B (1989) Psychic Equilibrium and Psychic Change: Selected Papers of Betty Joseph London: Routledge
Klein, M. (1946) Notes on Some Schizoid Mechanisms. International Journal of Psychoanalysis 27 (3).
Klein, M (1952). The Origins of Transference. In Envy and Gratitude and Other Works London: Hogarth Press Ltd.
Klein, M (1957). Envy and Gratitude. In: Envy and Gratitude and Other Works London: Hogarth Press Ltd.
Laplanche, J. and Pontalis, J-B. (1967) The Language of Psychoanalysis London: Hogarth Press Ltd.
Lemma, A. (2016) Introduction to the Practice of Psychoanalytic Psychotherapy Chichester: John Wiley & Sons Ltd.
Money-Kyrle, R.E. (1956) Normal Counter-Transference and Some of its Deviations. International Journal of Psychoanalysis 37 (3) pp. 360-66
Ogden, T (1982) Projective Identification and Psychotherapeutic Technique New York: Jason Aronson
Ogden, T (1994) The analytic third: working with intersubjective clinical facts. International Journal of Psychoanalysis 75. pp. 3-19
Racker, H. (1948) The Countertransference Neurosis. In: Transference and Countertransference. Abingdon, Oxon: Routledge.
Racker, H (1953) The Meanings and Uses of Countertransference. In: Transference and Countertransference. Abingdon, Oxon: Routledge.
Rosenfeld, (1971) Contribution to the psychopathology of psychotic states. In: E. Spillius (ed.) (1988) Melanie Klein Today: vol 1, Mainly Theory. London: Routledge.
Rosenfeld, H. (1987) Listening and Interpretation. Therapeutic and Anti-therapeutic Factors in the Psychoanalytic Treatment of psychotic, borderline and neurotic patients London: Tavistock Publications.
Sandler, J., Dare, C., and Holder, A. (1973) The Patient and the Analyst London: Maresfield Library
Segal, H. (1964) Introduction to the Work of Melanie Klein New York: Basic Books.
Segal, H (1981) The Work of Hanna Segal New York: Jason Aronson
Timimi, S (1996) Race and Colour in Internal and External Reality. British Journal of Psychotherapy 13(2) pp. 183-192
Tuckett, D (1997) Mutual Enactment in the psychoanalytic situation. In: The Perverse Transference and Other Matters: Essays in Honor of R. Horacio Etchegoyen.
Winnicott, D.W (1947) Hate in the countertransference In: Through Paediatrics to Psycho-Analysis London: Hogarth Press Ltd
Winnicott, D. W. (1960) Countertransference. In: The Maturational Processes and the Facilitating Environment London: Hogarth Press Ltd.
Winnicott, D.W (1963) Psychotherapy of Character Disorders. In: The Maturational Processes and the Facilitating Environment London: Hogarth Press Ltd.
White, J. (2006) Motivational echoes: Transference and countertransference in contemporary theory. In: Generation – Preoccupations & Conflicts in Contemporary Psychoanalysis. Hove: Routledge









































