Abstract
This article describes long-term psychotherapy with a patient who had been abused as a child. Various moments and elements of the therapy are discussed along with some of the thinking behind the work. Although most therapy requires the therapist to do some degree of questioning and experimenting, this is even more the case with patients who use heavy denial and dissociation. It is essential in working with such individuals that the clinician be willing to explore and find ways of dealing with the patient's deep distress and profound lack of trust. The therapist must also be able to accept his or her own feelings of helplessness and doubt while remaining grounded and present in the therapeutic relationship.
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