deeper understanding of the patient's relationship with the therapist" is mentioned on page 1 as a valuable vehicle of insight and healing.What are presented are simplified conclusions and outcomes, such as, "Anna came to think of herself more coherently and with fewer dissociations" (p.40)."Malcolm reconsidered the present and new future, and how to move forward in a new way with his mentor" (p.45)."As a result of learning more adaptive assertiveness and responsibility, he was later promoted to a supervisory position" (p.60).Patient improvement is, of course, our goal.We have all experienced the satisfactions that come with helping patients, which both gratify our desires to help and seemingly assure us of the correctness of our theories and techniques.What leads me to feel somewhat separated from the author's clinical reports is that he apparently privileges the therapist's psychoeducational interventions and soothing "serenity" as the vehicles of healing more than my clinical experiences have led me to believe.The "new relationship" is certainly vital.We help our patients experience this new relatedness in our surprising (to them) open-minded welcoming into the office of their feared desires, imaginings, and awkward self-representations.That is, we strive to help patients discover both that they have childhood-derived fears, hopes, shames, and excitements and that we receive them, are interested in them, and encourage their awareness and acceptance of them.This is our offer of therapeutic love, and patients' acceptance of that offer is a key component of adult personality growth that deserves mention in a book with that title.Dr. Horowitz's artwork on the book jacket is, significantly, not of his elegant and serene sumi-e but rather is an oil painting of a forest scene with gnarled trees, impressionistic greenery, and dense plant growth.This is the stuff of therapy.This is the wonderful messiness that patients bring to us that we are privileged to encounter.Many of us have learned from Dr. Horowitz for decades, going back to his groundbreaking work on stress.He now brings us his efforts to importantly integrate cognitive and dynamicthinking.I look forwardto our continuingto learn fromhim.