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2/ And this is my main beef with approaches that treat therapy relationship as equivalent of parenting relationship. There are tx processes that *resemble* aspects of parenting (eg, co-regulation via attachment, attunement, “marking” affective experience) but at some point the

3/ metaphor breaks down because the adult patient is no longer an unloved child. The early deficit has led to a cascade of other life difficulties. They now have different challenges to confront

4/ Fromm-Reichmann was a leading figure in field in the 1940s-50s. About three quarters of a century ago. What can we say about a profession that seems unable to retain & build on its own past knowledge and understanding?