In a respectful manner Dr. Busch questions many assumptions about psychoanalytic technique while continuing to elaborate his thinking on the significance of a contemporary ego psychology for clinical work no matter what the analyst's perspective. The book, written in his typically lucid style with many clinical examples, makes Dr. Busch's thinking accessible even in the midst of complex issues. Ultimately, as Dr. Busch describes how he understands patients from multiple perspectives while relying on contemporary ego psychology to evaluate their readiness to hear and use that understanding, it serves as a bridge across many perspectives and deserves to be read by everyone interested in psychodynamic clinical work. -- Arnold D. Richards M.D., editor, Journal of the American Psychoanalytic Assocation In this absorbing new volume, Fred Busch courageously challenges some of the most cherished assumptions about ego psychology as a theory of technique. His thinking is systematic, well-supported, and clinically grounded. Readers will find the book a breath of fresh air that should stimulate their thinking long after they have finished reading it. I suspect there will be controversy surrounding this contribution for years to come, and I heartily recommend it to all analysts and analytic therapists. -- Glen O. Gabbard, M.D.