This is a major contribution to psychoanalysis as applied to medical practice and medical education. Senn and Solnit have succeeded admirably in their aim to describe the 'philosophy and methods at the Yale Child Study Center of dealing with parents and children in distress'. The book was written for pediatricians and general practitioners, but it can also be highly recommended to psychoanalysts engaged in teaching and consultation in medical schools and community mental health programs. Throughout the volume, with few exceptions, the authors have steered an optimal course between the hazards of inundating detail and vague platitudes. Fundamental