It is clinical work with the most difficult patients - those with severe narcissistic, sadomasochistic, and borderline disorders - that poses the greatest challenge to the therapist's guiding assumptions about clinical process; indeed, such work often leads therapists to question beliefs and expectations that formerly seemed self-evident. In 'Getting From Here to There' Sheldon Bach elaborates the holistic vision that guides him in work with just such patients. He dwells especially on the 'attentive presence' through which the analyst effects a 'meeting' with patients that invites the latter's trust in the analyst and in the therapeutic process.