The place of analyst-patient interactions in the psychoanalytic change
process is much debated. This paper reflects an attempt to identify q
uite specific relational impacts that flow from the requirements of th
e psychoanalytic situation itself and are (a) essential to the psychoa
nalytic process, (b) inseparably tied to interpretation, and (c) of qu
ite broad significance. Relationship factors that are idiosyncratic, i
atrogenic, or that involve a nonspecific benign tone are all discussed
by way of contrast to features seen as essential to the interpretive
process. The published literature is heavily used to develop these poi
nts.