In this very accessible book, the authors offer both a cogent theoretical framework and a concise, 'in the room', clinical approach to the treatment of neurotic patients. This book combines the systematic approach of a manual with the flexibility necessary for real world treatment. Working in the framework of the authors, a therapist can make theoretically informed decisions about when, in what way, and at what level to intervene. The unique strength of this book is the integration of a dynamic conceptual framework grounded in object relations theory with clinical technique. Steven P. Roose, M.D., Professor of Clinical Psychiatry, College of Physicians & Surgeons, Columbia University; Acting Chief, Department of Biological Psychiatry, New York State Psychiatric Institute