In this book, Richard Chessick selects and presents eighteen of his most salient clinical papers. His presentation of detailed treatment cases is useful to the therapist and reveals an original orientation based on his five channel theory of psychoanalytic listening, that involves listening and responding to the patient from different stances or frameworks. He also reviews the various factors that he feels are operative in bringing about changes in psychoanalytic treatment. Clinical material from the treatment of borderline patient, eating disorders, psychosomatic disorders, schizophrenic disorders, obsessive-compulsive disorders and characterological and personality disorders is included. This study is personal and reveals much about the inner thoughts of the psychoanalyst as he struggles to deal with difficult problems, including impasses and failures in the treatment.