ABSTRACT
The difficult patients I am presenting are unable to fit into a standard model of psychoanalytic treatment. They act out and resist, breaking most or all of the rules about what a “proper” patient should be. They are predictably erratic, chronically anxious, and often quite aggressive. As illustrated in previous chapters, this group of nonstandard, non-neurotic patients miss many sessions, are late when they do show up, withhold fees, refuse regular and frequent attendance, and bitterly resist the exploration of any deeper motivations in life.
