offers analysts and psychodynamic therapists an innovative way of understanding the theoretical intersection of masochism, perversion, shame, guilt, narcissism substance abuse. This constellation of psychopathology frequently is seen in clinical practice and often proves to be a difficult personality organization to treat. While Dr. Wurmser relies on elements of classical analysis to construct his theoretical framework (including a theoretical and clinical analysis of super ego analysis), he incorporates contemporary relational and intersubjective perspectives understanding that the analyst's involvement of the "self" is critical for the successful treatment of the serious neuroses.