DISCUSSION: Dr. Sidney Tarachow suggested that the irony which the patient directs at the analyst is rarely romantic—it is a cruel, withering contempt. Inclusion of this idea in the title would have pointed toward the problem of aggression and ambivalence with which these patients were struggling. Agreeing with Dr. Sperling's formulations, he considered the conceptions to be clinically useful, and directed his attention to exploring further the problems of the sense of reality