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Through the course of the case descriptions in this book (and in this section in particular), it has been abundantly evident that a significant, and at times an overriding, part of the manifest psychopathology of many of the patients was expressed in extremely difficult and conflicted family interactions (mainly of course with spouses, occasionally also with children). In addition, it has also been evident that the spouses were themselves most neurotically troubled individuals—at times, also, official psychiatric patients as well.1 In this chapter, I want to summarize the PRP