From the beginning of psychoanalysis, there have been those considered suited to psychoanalytic therapy and those not. Those ‘suited’ could dream and associate as well as understand and accept the analyst’s symbolic interpretations. Those ‘unsuited’ were either unreceptive to treatment or were psychotic and it was feared that analysis could worsen an already fragile situation. Throughout his decades of clinical experience, Franco De Masi expanded his work to treat patients considered difficult to analyse. By doing so, he went beyond the territory of the dynamic unconscious into territory where psychic processes outside awareness reside. This inspiring book outlines his journey in two parts. Part I looks at certain aspects of traditional therapeutic work for ‘analysable’ patients. De Masi discusses the relationship between psychoanalytic theories and models; how the analytic perspective of childhood life has changed over the past few decades; the concept of psychic truth; the duration