The stated purpose of this book is to provide the psychoanalytic clinician with “tools and context for thinking about psychotherapeutic work and theories” (p. 1). The tools in this case are philosophical; the aim is to feel “more at home and competent in the world of ideas” (p. 2). The author's emphasis is to use philosophical ideas to improve clinical work. She sees philosophy as an antidote to the frequent psychoanalytic tendency to get caught up in schools and exclude other forms of thinking. We fail to question our basic assumptions and operating principles. Her attitude is one of fallibilism, the doctrine that beliefs do not need to be grounded in certainty. She would hold theory lightly, as well as “any particular view of meaning in the patient's experience” (p. 6). Her guiding principle is that of a hermeneutic spirit. This would include a sensitivity to dialogue between therapist and patient, each grounded in their particular worlds and cultures. These are all reasonable attitudes. I would add a further