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In “Analysis Terminable and Interminable,” Freud (1937) described three factors which were important for the success or failure of a psychoanalysis: the influence of traumas, the relative strength of instincts at any particular time, and the extent of such “alterations of the ego” as defenses and resistance. Freud made it clear that psychoanalysis must be reserved for neuroses. This was challenged by Stone (1954): “practically every psychogenic nosological category