Ms. R was attractive, plump, 40 years old and single, from a strong Greek Orthodox background. She was working in an executive position for a large company. She had been seeing a psychiatrist in another city once a week for about two years, and was maintained on an antidepressant for a “mild depression,” and prior to this had a quasitherapeutic relationship with a senior congregant. She presented with dissatisfaction in her relationships with men and with her family, and complained of anxiety speaking in public, which was an occasional demand of her job. She wished to marry and have children, but despaired of this ever happening: as a woman, it was