I have been following this case with very great interest.Clearly, Kathy made excellent progress toward recovery by woring with you in the transference. I would like to add another way of looking at Kathy's refusal to recover and to focus on her goals. I am convinced that she felt safe and very responded to in the therapeutic relationship. In fact, for a patient and a family where loss are such major and tragic issues, I would suggest that patholgical ways of attaching become the issue so that Kathy almost had to become depressed as a way of "assuring" the family that she would not be healthy enough to leave. Similarly, the very fact of her making such good progress with you became frightening so that she had to retreat into the refusal to recover. After all, recovery must have carried with it the threat of loss and abandonment. Anyway, I'd be interested to know your thoughts on this.