DISCUSSION: Dr. Charles Brenner was in agreement with the main points of Dr. Stein's paper and limited himself to discussing two aspects of it: how best to present psychoanalytic ideas in a paper; and the effect on patients' analyses of their analysts writing or presenting papers. As to the first, while appreciating excellence of style and liveliness of method of presentation, Dr. Brenner suggested that focus (knowing what one wants to say) and concern for one's audience (keeping in mind who it is one is addressing) are essential while style and form are merely desirable. As to the second point, Dr. Brenner agreed that whatever a patient's reaction may be should be analyzed. In addition, he emphasized that in writing a vignette, one should always ask of each fact about the patient which one proposes to include, "Is this fact essential to my purpose in presenting this vignette?" Eliminating unnecessary facts about a patient is extremely important in fulfilling the criteria of discretion and anonymity.