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Revised paperback edition. This book provides an in-depth examination of therapy in action, based on verbatim accounts of the treatment of seven patients by Patricia Coughlin Della Selva, using the technique of Intensive Short-term Dynamic Psychotherapy This technique has been shown to be both effective and cost-effective with a wide range of patients, including some who are notoriously resistant to psychotherpeutic intervention. No-one who has read this book can doubt the relevance of psychodynamics.