THERE is a consensus in the psychotherapy literature that the patient dimension of psychological mindedness is important to working within all forms of psychoanalytically oriented therapy. Silver (1983) offered a comprehensive definition of psychological mindedness stating that the capacity includes: The patient's desire to learn the possible meanings and causes of his internal and external experiences as well as the patient's ability to look inwards to psychical factors rather than only outwards to environmental factors....[and] to potentially conceptualize the relationship between thoughts, feelings, and actions. (p. 516).