At this Point we will Compare and Contrast the five discussions; that is, those by Frank Lachmann, from his dyadic systems self psychology perspective; Jeremy Nahum from his Boston Change Process Group perspective; Marion Tolpin from her self psychology forward edge perspective; Margaret Black from her American relational perspective; and Gianni Nebbiosi from his self psychological-American relational perspective. We believe that episode 4 of the case material provides a window into the similarities and differences among these contrasting views.

You will recall that in episode 4, Ann brings to the session homemade Christmas candies and happy pictures of her grandchildren to share with her analyst. This experience represented an eight-year annual ritual between them wherein Ann brings homemade goodies as presents for Dr. Pickles and her family. This year, however, Ann had been talking of the