The author entertainingly describes the evolutionary changes in psychotherapeutic concepts and procedures in a Veterans Administration Clinic in Los Angeles over the past ten years, and in so doing manages most graphically to describe the stages in the growth of a therapist. He scans various 'insufficient' conceptual positions and goals assumed in sequence by the changing therapist: 'Hostility Is Not Enough' refers to a phase in which it was hoped that abreaction and enactment of rage by the patient would relieve his symptoms; this hope foundered with awareness that there remains the patient's need to utilize effectively this newly released hostility. 'Love and Affection Are Not Enough' depicts a phase of overwhelming permissiveness by a therapist bent on making up for all his patient's unmet needs; this behavior only hinders the patient's expression