Sometimes people request a consultation for therapy because they are training to be a therapist, or because a judge , spouse or a boss told them to do it. People may enter therapy in order to stop drinking, drugging, gambling, eating or because they want a better job, relationship or something else. If psychoanalysis or psychodynamic therapy is the treatment of choice the patient has to be at a point where they recognize that there are issues and conflicts within him or herself about which they are motivated to understand and even change. The topic of Psychodynamic Approaches to Treatment Resistances and Therapeutic Obstacles is the theme of the annual meeting of the American Academy of Psychoanalysis and Dynamic Psychiatry which will be held in Honolulu May 12-14th . Details and the program can be found online at www.AAPDP.com