Presenter: Jean Goodwin, MD., MPH | Psychoanalysis was both a help and a hindrance to me in the late twentieth century as I was beginning to explore child sexual abuse and its sequelae. It was unhelpful that my medical school mentor(1968) explained that incest occurs one per million population. Also unhelpful when my supervisor in residency (1973) explained that my patient was fantasizing when she disclosed the sexual relationship with her father (1973).