M. Klemann, ABSTINENCE OR - FROM NECESSITY TO VIRTUE - HISTORICAL BACKGROUND AND CURRENT MEANING OF CONCEPT OF TREATMENT TECHNIQUE, Forum der Psychoanalyse, 11(3), 1995, pp. 221-238
Talking to analysts about their perception of the ''analytical rule of
abstinence'' may easily give rise to the impression that it is a kind
of taboo regulation rather than a rational concept of analytical tech
nique. Actually, the term ''abstinence'' outlines a canon of rules tha
t delineates the frame for relations with patients in the specific tre
atment situation of psychoanalysis. If you consider this in union with
the recent, gleefully spread press reports on sexual relations betwee
n patients and psychotherapists, you will become painfully aware of ho
w great the need of discussing the issue ''analytical abstinence'' is
to be assessed. This holds both for the definition of its content and
its translation into the practice of analytical technique. Against thi
s background, I will first outline the genesis of the analytical conce
pt of abstinence: born of the necessity to provide the difficult analy
tical relationship with a moral framework, it grows into a prerequisit
e of treatment technique. The underlying metapsychological and clinica
l implications will be shown. In conclusion, some thoughts on the pres
ent ethical and practical meaning of the analytical concept of abstine
nce are presented.