Mary Jo Peebles-Kleiger, Ph.D., is a psychoanalyst in Bethesda, Maryland, who spent nearly 20 years at the Menninger Clinic. She is board certified in clinical psychology and hypnosis. Beginnings: The Art and Science of Planning Psychotherapy is divided into 22 chapters, some with summary tables and charts. Starting with diagnosis and history taking, the author devotes the middle section to two main issues—the concept of underlying disturbance, and enhancing the ability to form an alliance. The former comprises deficit, characterologic dysfunction, conflict, and trauma; the latter includes reality testing, reasoning, emotional regulation, relatedness, and conscience. A chapter is devoted to each of these elements. The book closes with chapters on the psychological costs of change, the patient's learning style, expectations, and priorities and modalities.