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This second edition of the book first published in 2004, is a unique and essential component in the toolkit of the therapist who works with a twin relationship. Its scrupulous attention to detail supported by evidence based research including the author's own case studies, reflects the professionalism with which it was conceived and realised. Lewin pays strict attention to ethical issues that might arise from working with one twin and the potential impact therapy would have on future twin or mother/parent twin relations. Vivienne Lewin is a psychoanalytic psychotherapist who has been working in this field for more than