This interesting paper points to the disadvantages of reification. Wachtel uses Piaget's concept of assimilation and accommodation, seemingly analogizing transference reactions with Piaget's assimilation and therapeutic alliance and similar phenomena. However, it is questionable that the use of Piaget's schema in this context is helpful except in a kind of verbal exercise; and since Piaget does not recognize the presence of the unconscious, it is difficult to use Piagetian concepts to help explain analytic phenomena. The paper is nevertheless stimulating, and it has one particularly serendipitous contribution: "… every neurosis requires 'accomplices' to maintain itself, and a good deal of the analyst's effectiveness may be seen as residing in his ability not to become one more accomplice." Although this may not be germane to the paper, it is certainly a thought well worth keeping in mind in one's everyday clinical experience.