ABSTRACT

Yetanotherkindredpointwhich,though small,istooimportanttoleaveunmentioned. Impelledbythesamewishtolearnwhatthey canaboutthephysician,patientswilltake suchopportunityasarisestoexchangeviews andopinionsamongthemselves.Thisisone ofthesidewindsalreadyspokenofwhich

disturb the course of an analysis even seriously. Indeed, merely a chance encounter of two patients is enough to send a backwash which will upset the work for days together. In a recent case-that of a young manprogress was suddenly and unexpectedly stopped for more than a week. It then appeared that he had happened to see the patient-also a young man-next on my list each day. His jealousy was instantly POused and, feeling sore against me, he found himself unable to proceed as before. These unfruitful interruptions can be avoided only if patients do not meet. To this end, each one on arriving leaves his outdoor wear in the hall or irt a special room; and then goes to the waitingroom until his time is due. On leaving he passes direct to his hat and thence to the door. In this way the two who are in the house at the same time-one waiting, one leaving-do not meet. Nevertheless, no plan of this sort will work without occasional failures, and if we find an otherwise inexplicable hitch in the course of any case, the explanation should be sought in some such extraneous source. Similar disturbing influences are liable to D

emanate from relatives and friends with whom the patient may discuss his illness, and it is advisable in every case to give a warning against this, especially as any " leakage," as Freud puts it, of psychical material is prejudicial to the analytical work.