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Preface. Introduction. Part 1: The Approach. An Overview of the Psychoanalytic Method: The Freudian Model. Melanie Klein and the Kleinian Approach. The Modern Kleinians. Part 2: The Patients: Helping People within an Analytic Perspective. The Difficult Patient and the Psychoanalytic Approach. Keeping the Analytic Focus. Difficult But Worth the Effort. A Mixed Bag: the Realities of Private Practice. Gone But Not Forgotten: a New Look at Difficult Cases. Part 3: Kleinians in the Real World. Working from the Kleinian Perspective. The Ideal Patient and the Realities of Clinical Work. Chapter Eleven: Brief and Atypical Encounters. Part 4: Clinical Perspectives on Theoretical and Training Paradigms. A Day in the Life of a Psychoanalyst. How We Work and Why It Matters. Summary. Bibliography.