After years of infertility and the failure of various infertility treatments, a woman adopts a child. One month after the adoption, she gets pregnant and later gives birth to a healthy baby. When she learns she is pregnant, she explains to me, “It's like someone has been watching me and decided I'm a good mother.” Another woman gives up her longstanding addiction to cosmetic surgery only after she begins analytic treatment. Similarly, a man who has been unable to stop smoking is able to do so early in his