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IT IS A SINGULAR OPPORTUNITY AND a privilege to be asked to discuss a previously unpublished manuscript of Erich Fromm's (Fromm, 1964/1991) ; my aim is to use the opportunity to articulate and consider some aspects of his approach to clinical psychoanalysis. Uniquely, it is one of the very few of his writings which address clinical work explicitly, even to the point of including a case illustration. Though, as the editor notes, Fromm was far better known for his contributions to social psychology, and to audiences outside of the psychoanalytic community, his clinical ideas left a powerful imprint on those who had the opportunity to know him through his supervision, much of which was done at the William Alanson White Institute over a period of more than thirty years, initially as one of the Institute's founders, in 1943, until he effectively retired from teaching in the United States in moving to Switzerland, in the mid-1970's. As far as I am aware, I was the last candidate in training at the White Institute to have had the opportunity to present extensive clinical work to him in supervision, during a seminar he conducted under the auspices of the Harry Stack Sullivan Society (the candidates' psychoanalytic organization), in 1974.