Report from borderland: an addendum to ‘What works?’

Abstract :  Based on personal experience the following paper briefly argues that forming a supportive relationship prior to analysis is important for certain 'borderline' patients. Should such a relationship not be established analysis may prove destructive, despite the best of intentions. Direct expression of feeling is important here but, it is suggested, has been undervalued in the history of analysis because of fear of spontaneity. This also affects current day writing about analysis.