I AM DEEPLY GRATEFUL to Charles Spezzano for the thoughtful and thorough reading he has given my book. Because it is inevitable that a reviewer will have differences with an author, I have, in the past, refrained from responding to reviews of my work. When Dr. Greenberg offered me the opportunity to read and respond to Dr. Spezzano’s review, I reluctantly read it, expecting to decline the invitation. However, as I read it I changed my mind, feeling that it is important to respond because Dr. Spezzano and I have developed as analysts within different traditions. I limit my response to two of Dr. Spezzano’s points that I believe are profoundly shaped by our distinct analytic heritages: first, the issue of attribution and, second, the question of the relevance of frequency of sessions in my conception of psychoanalysis.

Dr. Spezzano questions my failure to credit the influences of Sullivan,