ABSTRACT
Last week, I conducted the last session of a successful analysis with a middle-aged man who came to see me six years ago for feelings of panic, anxiety, and failure. Diagnostically, he was an obsessive neurotic with narcissistic features. We met multiple times each week and he used the analytic couch. He paid his bill on time and rarely missed a session. Through an ongoing analysis of the transference, dreams, extra-transference material, and genetic reconstruction, 2 he achieved a major shift in his psychological structure. When he left, after a thought out and agreed upon termination period, he had made significant changes. Issues of loss, power, competition, and envy had radically improved. As a result, his external life was blooming. He had found a very suitable mate, gotten married, had his first child, and made important advances in his career. When the analysis ended, we both felt very satisfied and proud at the tremendous shift in his life.
