to restrict their sphere of application and to invest them once more with precision and significance. This is what happened, for example, to the concepts of 'Transference' and of 'Trauma'. The concept and term 'transference' was designed originally to establish the fact that the realistic relationship between analyst and patient is invariably distorted by phantasies and object- relations which stem from the patient's past and that these very distortions can be turned into a technical tool to reveal the patient's past pathogenic history. In present days, the meaning of the term has been widened to the extent that it comprises whatever happens between analyst and patient regardless of its derivation and of the reasons for its happening. A 'trauma' or 'traumatic happening' meant originally an (external or internal) event of a magnitude with which the indivi- dual's ego is unable to deal, i.e. a sudden influx of excitation, massive enough to break through the ego's normal stimulus barrier. To this purely quantitative meaning of the term were added in time all sorts of qualifications (such as cumulative, retrospective, silent, beneficial), until the concept ended up as more or less synonymous with the notion of a pathogenic event in general. Psychoanalytic concepts may be overtaken also by a further fate, which is perhaps of even greater significance. Most of them owe their origin to a particular era of psychoanalytic theory, or to a particular field of clinical application, or to a particular mode of technique. Since any of the backgrounds in which they are rooted, are open to change, this should lead either to a corresponding change in the concepts or to their abandonment. But, most fre- quently, this has failed to happen. Many concepts are carried forward through the changing scene of psychoanalytic theory and practice without sufficient thought being given to their necessary alteration or re-definition. A case in kind is the concept of 'acting out'. It was created at the very outset of technical thinking and teaching, tied to the treatment of neurotic patients, and it characterized originally a specific reaction of these patients to the psychoanalytic technique, namely that certain items of their past, when retrieved from the un- conscious, did not return to conscious memory but revealed themselves instead in behaviour, were 'acted on', or 'acted out' instead of being remembered. By now, this clear distinction -10- |