The Clinical Exchange: Techniques Derived from Self and Motivational Systems: Joseph D. Lichtenberg, Frank M. Lachmann, and James L. Fosshage. Hillsdale.  The Analytic Press, 1996,  262 pp.

For Lichtenberg, The Clinical Exchange is his third book in a series based on an elaboration of his Motivational Systems Theory, one of three streams within contemporary self psychology. His first book, Psychoanalysis and Motivation, published in 1989, outlines his theory of motivational systems. The second, Self and Motivational Systems: Toward a Theory of Psychoanalytic Technique, published in 1992 together with co-authors Lachmann and Fosshage, outlines the clinical application and theory of technique. The current volume, The Clinical Exchange, is written in the tradition of the clinical “case book,” and provides a detailed case report which demonstrates the application of this theory to the case of Nancy

Lichtenberg (1989) defines motives as “wishes expressed in actions or in unconscious fantasies” (17). He states that fundamentally “psychoanalytic theory is, at its core, a theory of structured motivation” (1992, 1), and that all