Prologue - Morton Shane, M.D. Issue Editor Patient's Motivations and the Analyst's Experience - Gail S. Reed, Ph.D. Some Reflections on the Psychoanalytic Theory of Motivation: Toward a Theory of Entelechy - James S. Grotstein, M.D. Motivation: Sic Transit Gloria? - Joseph Lichtenberg, M.D. Object Relations, Affects and Drives: Toward a New Synthesis - Otto F. Kernberg, M.D. Extending the Field of Psychoanalytic Change: Exporatory-Assertive Motivation, Self Efficacy - Kenneth A. Frank, Ph.D. Sources and the Role for Action, of Opposition to Relatedness in Psychoanalysis - Henry J. Friedman, M.D. Back to Basics--The Psychoanalytic Conceptualization of Motivation - Mervyn M. Peskin, M.D. The Attachment Motivational System as a Guide to an Effective Therapeutic Process - MaryGales Shane, M.D. and Morton Shane, M.D. Eiplogue - Morton Shane, M.D.