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1940s was a time of great change in the psychoanalytic world. The War sounded a deathblow to continental European psychoanalysis, with only two small societies remaining in Switzerland and Sweden; while Britain and the United States had to adapt to the influx of psychoanalytic refugees. The death of Freud at first brought uncertainty over the future of psychoanalysis but ultimately led to greater creative freedom in exploring new ideas and theories. These years marked the birth of post-Freudian issues. There was a reflective attitude towards psychoanalysis itself, caused by Freud's death and the diaspora of analysts. There were new debates on the relations between psychoanalysis and subjects such as philosophy and biology. There was a good deal of freedom to review metapsychology and ideas such as the development of group therapy, now established, were starting to take root.