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This case study examines a three-year period in the psychoanalytic treatment of a man who was both a sexual offender and a sun'ivor of childhood sexual abuse. The case study is presented in the context of the patient's sociocultural milieu. The analyst describes her use of modern psychoanalytic theory and technique throughout the period under study, including object-oriented questions, exploration of the narcissistic rage, and the transference-countertransference matrix in the progression of the analysis.