This volume shows the therapeutic power the modern Kleinian psychoanalytic approach can have with patients throughout the diagnostic spectrum. By attending to the interpersonal, transactional, and intra-psychic levels of transference, counter-transference and unconscious phantasy with consistent here-and-now and in-the-moment interpretation, the Kleinian method can be therapeutically successful with severely neurotic, borderline, and narcissistic patients. Extensive clinical material brings the reader right into the analyst's office to hear exactly what the patient says and how the analyst interprets to the patient in order to facilitate change and growth.