We have selected the following full-length case report because of its relevance to Dr. Isakower's concern with states of consciousness in the analytic situation. We are well aware that few of our colleagues, including ourselves, have produced extended narratives illustrating the analyst's use of the self. There are a few exceptions such as Drs. Jacobs and Natterson (see review, this issue, p. 271). Dr. Perri's case, interesting in itself, does illustrate another aspect of the states of consciousness phenomena which so interested Dr. Isakower.

We also wish to add that Dr. Perri's style of analyzing beautifully illustrates a point emphasized lately by a number of authors concerning the activity of analyzing. While Isakower emphasized visual imagery (as part of the regressive state in which the instrument best functioned), this is not the only modality available to the analyst. The