Using case vignettes, Grossman demonstrates the importance of understanding the psychodynamics of the physically ill patient as well as having an appreciation of the pre-existing transference between the patient and the primary physician, and of the attitudes of ward personnel working with the patient. He posits that the analyst, although working in a clinical setting that is different from his office, can be of great help in facilitating the medical-psychological treatment of the patient. This requires an understanding and delicate handling of the patient's ego strength, conflicts, and defenses.