People with severe and profound intellectual disabilities should have the opportunity to receive psychoanalytic psychotherapy to deal with their emotional suffering. However their needs are not always considered. This book is not only about the people officially designated intellectually disabled but it is also about the ways in which all of us suffer from the limitations which can be discerned from clinical work on the inner world of these individuals. This book provides detailed case accounts that show the ups and downs of the therapeutic process particularly when dealing with these handicapped individuals. Based on more than 30 years of practice in the field this stimulating innovative and very moving revised edition examines questions of loss bereavement sexual abuse and the process and meaning of thinking. Many people wondered what actually happened in a therapy session. This landmark book was one of the first to provide verbatim accounts of therapy sessions.