For treatment to succeed, analyst and patient agree on constructive goals. Analysts have the right to discharge patients who are unwilling to accept constructive goals. It is also the analyst's prerogative not to work with patients who have a history of violence where there is danger that violent behavior will occur in the analytic relationship. Preverbal resistances require providing patients with emotional experiences, and the analyst should be prepared to surrender his ego in the service of understanding the patient on a sensori-somatic level. Analysis, however, has the potential for doing harm as well as good. It is possible that analysis may have toxic results both for analyst and patient. Research is needed to discover which ways of being with patients help them to grow and avoid undesirable outcomes, somatization among them.