Finally, in chapter 14, "Therapeutic Technique in Psychoanalysis and Psychoanalytic Psychotherapy," published in 1992, Weinshel points out, "The course of an analysis is not determined solely by the analyst’s interpretations or his general behavior" (p. 335). There are many patients who are unable to participate in the psychoanalytic process, and this failure may be the consequence of the analyst’s shortcomings, countertransference, etc., or technical blunders or inability to understand the patient’s problems. The patient’s inability to participate may also be a function of different psychic defenses that the patient has developed. Such patients usually end up in psychotherapy, often with another therapist. It is the mark of the analyst’s conscience, as Weinshel would put it, not to prolong a psychoanalysis with a patient who has this inability but to find a suitable psychotherapist for that patient and refer the patient to that therapist.