TO SOME EXTENT, WE HAVE DESCRIBED (Parts I & II) how our theory of "unsolved family problems" allows us to steer between the extremes of technique as diverse as Sullivan and Winnicott and to understand the efficacy of Davanloo's middle ground.1 But it is one thing to utilize this theory in the context of an unhurried private practice, and quite another in a busy clinic conducted by three senior residents under the supervision of one faculty member. In the latter setting judgments have to be made more swiftly, since there is no option of carrying the patient in long term psychotherapy. Since we either accept or reject the patient for brief psychotherapy, we dare not prolong the contact (Malan, 1979). Secondly, the time pressures in such a clinic are unrelenting, as every other week presents us with a full schedule of new patients to consider.