title: Beyond the what, when, and how of transference: a consideration of the why.
abstract: Transference has generally been discussed in terms of its operating to distort the way in which a current relationship is dealt with and experienced because of one's past. In the present paper, emphasis is placed on that aspect of transference which operates as a defense, and which is called into play in response to signal anxiety associated with a "pathogenic complex" and is based on (1) a traumatic experience of stimulus overload or (2) an intrapsychic conflict stemming from instinctual drive pressure which in turn threatens a repetition of the traumatic experience. Clinical illustrations are presented in which both traumatic experience and drive-conflict forces are prominent, leading to a discussion of the here-and-now versus reconstruction of the past, as well as affective/cognitive and interpersonal/intrapsychic factors.
authors.affiliation: Georgetown University School of Medicine.
authors.forename: D S
authors.initials: DS
authors.lastname: Jaffe
mesh_terms: D000328:Adult; D001007:Anxiety / Q000523:psychology; D006801:Humans; D008297:Male; D009813:Oedipus Complex; D011573:Psychoanalytic Interpretation; D011574:Psychoanalytic Theory; D011575:Psychoanalytic Therapy / Q000379:methods*; D011606:Psychosexual Development; D020018:Sexual Dysfunctions, Psychological / Q000523:psychology; D014167:Transference, Psychology