ABSTRACT
When I began working with Attis I did not know the concepts I described in the previous three chapters, although my inpatient supervisor and, after Attis was discharged from the hospital, my outpatient supervisor had had psychotherapeutic involvement with patients like him. If I had been an experienced clinician at that time and if Attis could have driven to Chapel Hill more than once a week after his discharge from his hospitalisation, the therapeutic process that would have evolved between us would have obviously taken a different course. Notes that I kept after each meeting with my out-patient supervisor reflect my bewilderment as well as excitement.
