Case presentations of children who engage in fully expressed fantasies have great value both in providing evidence to support or refute theory and in illustrating a therapist's ways of working. Kaufman's patient richly elaborated five basic fantasies. She persuasively describes the child's offerings and the therapist's responses to them. Such matters as fears of abandonment, identification with the aggressor, regressions caused by fears—for example, when Kaufman moved her office—and many other processes are vividly shown. This is a noteworthy paper, highly instructive. The child improved in treatment, and Kaufman convincingly discusses the reasons for her improvement.