In her contribution to the Round Table Discussion in 1956, Marianne Horney Eckardt brings into focus the need to respect the unique qualities of the patient as a human being and to be cognizant of the uniqueness of each patient–therapist relationship. In discussing the subtler aspects of technique, Dr. Eckardt reminds us that there is no neutral technique and that what is effective and what brings change in treatment needs to be viewed in the specific context of the dynamic interaction of the patient—therapist dyad. She also appeals for humility in the therapist and reminds clinicians to keep in awareness the one-sidedness of the relationship.

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    In the 1960’s Dr. Eckardt wrote several papers (for example, 1960; 1961; 1968) in which she discussed some of the therapeutic challenges a psychoanalyst may face.


  1. Eckardt, M. H. (1957). What is effective in the therapeutic process? A round table discussion. American Journal of Psychoanalysis, 17, 11–14.

    Google Scholar 

  2. Eckardt, M. H. (1960). The detached person: A discussion with a phenomenological bias. American Journal of Psychoanalysis, 20, 139–149.

    Article  Google Scholar 

  3. Eckardt, M. H. (1961). Alienation and the secret self: Some therapeutic considerations. American Journal of Psychoanalysis, 21, 219–226.

    Article  Google Scholar 

  4. Eckardt, M. H. (1968). Determinism and freedom in psychoanalysis: Awareness and responsibility. American Journal of Psychoanalysis, 26, 62–65.

    Google Scholar 

  5. Eckardt, M. H. (1974). Psychoanalysis today: Some philosophical issues. Journal of the American Academy of Psychoanalysis and Psychiatry, 2 (1), 41–54.

    Google Scholar 

  6. Eckardt, M. H. (2005). Karen Horney: A portrait. American Journal of Psychoanalysis, 66 (2), 95–102.

    Article  Google Scholar 

  7. Eckardt, M. H. (2006). Celebrating the 50th anniversary of the American academy of psychoanalysis and dynamic psychiatry. Journal of the American Academy of Psychoanalysis, 34, 5–12.

    Article  Google Scholar 

  8. Eckardt, M. H. (2009). From couch to chair. In R. Funk (Ed.) The clinical Erich Fromm (pp. 71–72). Amsterdam: Editions Rodopi.

    Google Scholar 

  9. Eissler, K. R. (1953). The effect of the structure of the ego on psychoanalytic technique. Journal of the American Psychoanalytic Association, 1 (1), 104–143.

    Article  PubMed  Google Scholar 

  10. Ferenczi, S. (1953). The theory and technique of psychoanalysis. New York: Basic Books.

    Google Scholar 

  11. Orr, D. W. (1956). Transference and countertransference: A historical survey. Journal of the American Psychoanalytic Association, 2 (4), 621–670.

    Article  Google Scholar 

  12. Paris, B. (1994). Karen Horney: A psychoanalyst’s search for self-understanding. New Haven: Yale University Press.

    Google Scholar 

  13. Patterson, R. H. (2006). The child within. Karen Horney on vacation. American Journal of Psychoanalysis, 66 (2), 109–112.

    Article  PubMed  Google Scholar 

  14. Reich, W. (1949). Character analysis. Third Edition. Orgone Institute Press.

    Google Scholar 

  15. Rubin, J. B. (2014). Each individual is a surprise: A conversation with Marianne Horney Eckardt. American Journal of Psychoanalysis, 74, 115–122.

    Article  PubMed  Google Scholar 

  16. Slipp, S. (1999). From divergence to convergence in American psychoanalysis: The influence of Freud’s background on the splitting of the psychoanalytic movement. Journal of the American Academy of Psychoanalysis and Psychiatry, 27, 503–514.

    Google Scholar 

  17. Szalita-Pemow, A. B. (1955). The “intuitive process” and its relation to work with schizophrenics. Journal of the American Psychoanalytic Association, 3 (1), 7–18.

    Article  PubMed  Google Scholar 

  18. Tait, R. (2010). In memoriam. Renate Horney, 1916-2009. American Journal of Psychoanalysis, 70 (1), 105–107.

    Article  PubMed  Google Scholar 

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Correspondence to Marianne Horney Eckardt.

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Paper was originally presented at the Round Table Discussion, “What is effective in the therapeutic process?” at the Annual Meeting of the American Psychiatric Association in Chicago, IL, on May 1, 1956. Panel was moderated by: Bella S. Van Bark, M.D. Other presenters were: Elizabeth Kilpatrick, M.D., Lewis Wolberg, M.D., Frederick A. Weiss, M.D., Leslie H. Farber, M.D., Louis E. DeRosis, M.D., and Silvano Areti, M.D. This article was first published in the American Journal of Psychoanalysis, 1957, 17, pp. 11–14 and is republished here.

1Marianne Horney Eckardt, M.D. is a practicing psychoanalyst and an author of many articles in major psychoanalytic journals. She is a Charter Fellow and Past President of the American Academy of Psychoanalysis, which was established in 1956.

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Eckardt, M. WHAT IS EFFECTIVE IN THE THERAPEUTIC PROCESS? A ROUND TABLE DISCUSSION. Am J Psychoanal 75, 188–194 (2015). https://doi.org/10.1057/ajp.2015.1

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  • transference
  • countertransference
  • psychoanalytic technique
  • intuitive process
  • uniqueness of each psychoanalytic dyad