Sudden deceleration, as in a car accident or a fall from a height, can cause “traumatic rupture” of the main artery that supplies the body with oxygen rich blood. It is often fatal. This is an evocative metaphor for this work, a book about psychoanalytic casualties that occur when treatment ends suddenly as a result of death or misconduct. Since, as several of the authors in this excellent collection of essays note, the situation is not rare, careful study of the effects is long overdue.

Each of the papers in this volume possesses a unique voice and perspective, and together they cover a range of loosely related topics. The first half of the book includes personal accounts of working in the aftermath of an analyst's death, a patient's suicide, and a spouse's death, as well as a chapter on being the second analyst for people who have suffered traumatic losses in prior treatments. The second half contains three stories from people whose analysts resigned following sexual boundary