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This is a most interesting paper. Its usefulness in understanding and handling therapeutically feelings of dependency and related defenses extends far beyond work with schizophrenics, for it is equally illuminating as these problems occur in 'borderline' and neurotic patients. The schizophrenic seeks another person to gratify totally his needs, both psychological and physiological; he gives nothing in return. Such a need produces tremendous anxiety and guilt and brings about numerous defensive measures. Searles discusses the various reasons for the anxiety and for the manifestations of the dependency problem in treatment; but this abstractor believes that only intuition can guide the therapist to pertinent use of these suggestions. The author indicates that intuition is severely hampered when the therapist has to deny his own need for dependency. His emphasis on the importance of the guilt always associated in the schizophrenic with feelings of dependency is most useful. He believes the therapist's task is not to make up to the patient for past deprivations, but rather to help the patient arrive at a full and guilt-free awareness of his need for dependency. Searles discusses the ideas of various therapists with regard to the use of gratification. He advocates moderation in gratifying wishes for dependency, and places emphasis upon the patient's anxiety about closeness and the need for firmness on the part of the therapist.