“First, there is no real discontinuity between speech and action. Secondly, “acting-in” the transference is not something that occurs intermittently at times of distress. It is a semiotic dimension. It goes on continually, and the relationship between the patient and the therapist is played out, over time, in a patterned, structured way. This discourse of action is isomorphic with whatever the patient and therapist are talking about. It is also isomorphic with whatever the patient has told the therapist about his outside life in the present and historically. Every dimension of the therapy—history, contemporary issues in the patient’s life (and the therapist’s), dreams, memories, acting-out, acting-in, transference, countertransference—all are of a piece.”