COVER -- CONTENTS -- FOREWORD -- PREFACE -- Introduction -- CHAPTER 1. Ground rules -- Confidentiality -- Privacy -- Fees -- Gifts -- Regularity and timing of sessions -- Neutrality and anonymity -- Referrals -- Abstinence and the suspension of physical contact -- Constancy of the setting -- The physical setting -- Summary -- CHAPTER 2. Communication and the therapeutic process -- Unconscious communication -- Non-verbal communication -- Themes and metaphors -- Silence -- Power in the therapeutic relationship -- Listening -- Acting out -- Holding and containing -- CHAPTER 3. The limits of therapy and existential conflicts -- Death the ultimate boundary -- Separation and isolation -- Separation and psychotherapy -- Freedom and responsibility -- Autonomy -- CHAPTER 4. Anxiety and the therapeutic process -- Existential anxiety -- Psychoanalytic anxiety -- Reparation -- Anxiety and guilt -- Psychoanalytic guilt -- Anxiety and ambivalence -- Anxiety, annihilation, and holding -- Anxiety in institutions -- Anxiety and the communicative approach -- Secure-frame anxiety -- Deviant-frame anxiety -- CHAPTER 5. A sense of the absurd: contradictions and paradoxes -- The double bind -- The wounded healer -- The paradoxical influence of the helpful aspects of the therapist's limitations -- The patient's participation in the curative process -- The paradox of freedom -- CHAPTER 6. Boundary issues in alternative therapeutic settings -- The institutional setting -- Framework issues in primary health care -- The college setting -- Working with the bereaved and terminally ill -- Conclusion -- REFERENCES -- INDEX.