throughout the development of the patient-analyst relationship, one becomes able to find the root of existing problems. "Whether a child or adult is in a state of security, anxiety, or distress is determined in large part by the accessibility and responsiveness of his principal attachment figure." (Bowlby, 1973, p. 43) Initially the analyst possessed an insensitive notion that the patient merely needed to "grow-up and relinquish his narcissistic demands" being that he possessed an independent center of initiative (Kohut, 1979, p. 12). Once it was acknowledged that Mr. Z was without this important facet of self-structure, the analyst was able to work through issues in order to abet the repair of Mr. Z's narcissistic self. The employment of "the psychology of the self" in the second analysis led to a focus upon the importance of the self and to relations with others in the environment (Luti, personal communication). All in all, this allowed Mr. Z to discover the reason for his disturbance and learn to lead a happy and healthy life....
