Theory appears variously in these clinical vignettes. Sometimes it is addressed as such, in the cases of Hartman, Lobban, and Guralnik. In other instances, it is seamlessly woven in, as in Sheehy's account or in the deftly written narrative by Olga Pugachevsky, a therapist in private practice. She recounts her work with Mariana, a patient who, precociously accommodating and accomplished in projective identification, had acquired a chronic and progressive illness readily interpellatable by others—including the analyst—such that the patient is rendered an invalid, a subjectivity that both compels and repels her.