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A thirty-three-year-old married woman, hospitalized for advanced tuberculosis which was dangerously aggravated by her attitudes and behavior, was treated for some years by daily letters, each a response to her daily letter. Despite serious
difficulties and limitations in such a situation, analytic psychotherapy was conducted effectively. Genetic, dynamic, and economic factors came to light, unconscious fantasies and memories became conscious, and some dynamic, economic, and structural changes occurred. The transference neurosis was typical of conventional analyses.