DR. SPEAR'S PRESENTATION DESCRIBES his clinical experience with his patient so that we get a glimpse of what occurred in the therapeutic work. Fortunately, his paper is relatively free of theoretical premises, which so often mask what happened. A future paper might use this clinical material to address a theoretical framework. As psychoanalysts, it is necessary that we describe what we actually do. The clinical data can then be used, via inductive reasoning and inference-making, to revise our theoretical schemes and to test our clinical hypotheses. For example, one of our first questions