ABSTRACT
The "unwanted" patient often goes through trials in trying to find a therapist who can and will work with him that are similar to those he encounters in trying to find people who are able to sustain benign interactions with him in his daily life. These patients tend to drive therapists away as they do people in general. The undue "therapist-hopping" that relatively unwanted patients may be forced to go through can become too costly in every sense. In general, these patients tend to evoke some sense of distaste in the therapists who try to treat them. In particular, the ego of these patients exhibits a marked incapacity to process aggressive feelings in wholesome ways. The couch facilitates work with such patients and in certain instances is virtually the only way that treatment could be possible.
