ABSTRACT
This chapter discusses some of the things an analyst may actually do to help a patient who is able but reluctant to pay the analyst's fee at the beginning of an analysis. To set the stage for considerations on technique with reluctant patients, this chapter outlines relevant comments on technique from Fenichel and from two other relevant classics on the subject, Glover's The Technique of Psychoanalysis and Brenner's Psychoanalytic Technique and Psychic Conflict. The chapter emphasizes the activity explicit in analysts' decisions to gratify their patients by treating them at lower fees or by offering interest-free loans. It suggests that the modifications allowing some patients to have analyses who would otherwise be unable to allow themselves such experiences. The chapter describes that the modifications complicate the subsequent processes, these modifications do not doom these analyses to failure. It focuses on patients whose reluctance to pay the analyst's fee was a presenting resistance that required gratification before it could be analyzed.
