DISCUSSION: Dr. Margaret S. Mahler elaborated on the reconstruction of the subphases of separation-individuation in this case and discussed the persistence and seeming immutability of the child's separation reactions. It is possible that her immutable separation reaction represented not only a fear of object loss but also a more internalized conflict, namely, fear of loss of love and loss of self-esteem. Dr. Eleanor Galenson discussed the methodology and the content of the clinical picture. Dr. Kenneth Calder commented on the child's handling of her anxiety, referring to her genetic endowment as well as to the question whether she would not have to give up an attachment to her environment to get better—that is, to cease to identify with the parents' ways of handling anxiety. Dr. Max Schur noted that the same conflicts found in this child are present in adult cases through reconstruction.