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The patient is a 28-year-old married woman from Austria with long hair, a sad, gentle pale face without makeup, who dresses casually and looks younger than her age. She is an accomplished violinist, extremely articulate, intelligent, likeable, and well-related. Although she had never talked to anyone before about her problems, she was quite open, with a rather depressed affect, anxious and tense but able to make connections between her current problems and past experience. She was seen three times, the last appointment she came following a lecture at a college, well groomed, looking attractive, feminine, and less unhappy.
She has been under considerable stress for the past several months because of marital problems. She complained that her one- and-a-half-year marriage has deteriorated and may inevitably end. She has been very angry at her husband who ignores her, refuses to be cooperative with her, and spends his time with another woman. His provocative behavior makes her feel “irrational jealousy”; he teases her that he is cheating, although she says she has no grounds to be