ABSTRACT
This chapter had its origin several years ago, when after a long period of apparently effective therapeutic work, a patient became convinced I was causing him great harm, indeed had destroyed whatever chance he had for a satisfying life. For some time the patient and I attempted to understand this alarming turn of events, but our efforts failed. Though I could empathize with his feelings, and he with mine, we could not bridge the gap between our respective views; the affective state worsened and his treatment foundered.
