ABSTRACT

Mythesisisthatthepatientwhotellsusthathedrinksbecauseheisdepressedand anxiousmayinfactbedepressedoranxiousbecausehedrinks.Hemaydraw attentionfromthefactthatitispainfulforhimtogiveupalcohol.Thealcoholic's denialmaybesimultaneouslyataconscious,unconsciousandcellularlevel.Inno othermentalillnessisthedeficitstatesoclearlyaproductofdisorderedchemistry andyetthesecondaryconflictsandassociationssodynamicallyfascinatingto psychiatrists.Thegreatestdangerofthisiswasteful,painfulpsychotherapythat bearsanalogytosomeonetryingtoshootafishinapool.Nomatterhowcarefully heaims,therefractedimagealwaysrenderstheshotwideofitsmark.