Druss is not rigidly psychoanalytic. In seeing himself as a collaborator with his patients, he is much like behavior therapists and somewhat unlike the stereotyped, seemingly detached psychoanalyst, who says little but knows all. In one instance, Druss pays much attention to the patient’s lifestyle, and the patient consults with a nutritionist and joins a group to help him stop smoking. It is hard to imagine Freud, or his traditional followers, doing something like that. Like psychoanalysts, however, Druss conceptualizes the cases in such terms as transference and repression. Thus, the reader gets a sense of how a case can be handled psychoanalytically but with more flexibility than in traditional psychoanalysis. Druss has great insights into the cases he presents, so the book is useful to all, not just psychoanalysts, who try to understand what is occurring.