xii WHO IS QUALIFIED FOR THE TASK ? 433
He says, ' It does not matter whether the patient be analysed by a physician or a layman, as long as any danger of mistaking his condition is excluded by being properly examined by a physician before the beginning of the treatment, or re-examined as soon as developments, in the course of analysis, make this advisable. It is much more important for the patient that the analyst possess those personal qualities which invite full confidence, and that he has that knowledge and experience which alone qualify him to apply psychoanalysis ' 68 (p. 173).
He has come to the conclusion that the patients themselves have no prejudice against a non-medically trained analyst, but are glad to accept the benefits of treatment wherever they offer themselves. So far he has found that the analysis to which all candidates of psychoanalytical institutes are required to submit themselves is the best means of testing suitability for the work. As he pertinently points out, medical training now occupies five or six years, and if the medical profession wished to claim a monopoly of psychoanalysis, it would mean the addition of a very considerable period to this already lengthy study, an addition which would prove a harsh burden upon those who come from the social classes from which medical practitioners are usually drawn. Dealing with the argument that the analytical training would be superimposed upon the medical, and that therefore little time would be wasted since it is rarely that a young man can gain the confidence of his patients required either for medical or psychological work before he is thirty, Freud condemns the demand as a complete waste of energy, which, in view of prevailing economic conditions, does not seem to be justified. Although analytical training overlaps the medical side, it neither includes it nor is included