Szajnberg believes that a milieu setting magnifies those facets of the countertransference related to (1) "evoked feelings" and (2) the interaction of the mutual needs of patient and therapist. Reasons for this magnification include the use of action as a communication by regressed patients and the continuous interaction of patients and therapist in a therapeutic milieu. In Szajnberg's clinical example, the mutual needs of patient and therapist interacted and allowed the patient to progress. A therapist spent long hours sitting with a regressed incontinent patient. The therapist felt concern for the patient's comfort. This was formulated as a feeling of caring evoked in the therapist, who then changed the sheets in a non-demanding way. The patient improved and said that she could feel the caring which she sought. The therapist's feelings as perceived by the patient met her needs, whereas during previous changes of sheets the patient had perceived a demanding, critical staff