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The author defines personality disorder and suggests that the central obstacle to the use of conventional psychotherapy for patients with this disorder is the inability of such patients to experience "transitional relatedness"—that is, a soothing blending of internal and external reality. Horton cites the cases of two adults and one child and clearly delineates various steps in technique: 1, the therapist must identify the inability to relate transitionally as an ego deficit; 2, he must interpret this to the patient by calling on the patient's observation