This wide-ranging work takes up some of the pressing cultural, political, organizational and ethical issues for psychoanalytic psychotherapy, placing them firmly in a clinical context. The contributors examine a range of issues from the experiences of a particular group of people in therapy (children, immigrants, gay men, short-term clients), who may challenge psychoanalytic assumptions, to the difficulties psychoanalytic psychotherapy has in organizing itself creatively in a risk-averse culture, and to the openings and connections with other disciplines that may extend and enliven critical work. The contributors write from the critical edge of psychotherapy and offer their own challenges to the profession.