Introduction , A Joyless Life , Disappointment and Disappointedness , Forms of Extreme Shame: Humiliation and Mortification , Envy: Revisiting Melanie Klein’s “Envy and Gratitude” , The Psychotherapist’s Absence , Defenses Against Goodness , Experiencing Termination: Authentic and False Depressive Positions , Painful Progress: The Negative Therapeutic Reaction Reconceived , Afterword