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Chronic total occlusion is the complete blockage of a coronary artery. Opening up such blocked passageways is one of the most difficult challenges for coronary interventionists. The procedures take longer than most interventional procedures and frequently have complications. Articles in this issue review the state of the art in percutaneous treatment of chronic total occlusion.

Traditional psychoanalysis views relationships as forged through individual drives--a satisfaction and fulfillment of needs and desires. Rucker and Lombardi contend, however, that all relationships cannot be explained so simply; rather, they argue that human relationships carry meanings which cannot be reduced solely to the psychic contributions of each of the individuals involved. Instead, Subject Relations discusses the existence of a related unconscious rooted in mutual subjective experience.The authors cite numerous clinical examples that show how the unconscious material generated by human interrelatedness comes to light. Drawing on the work of Matte-Blanco as well as traditional object relations theorists such as Melanie Klein, D.W. Winnicott, and Thomas Ogden, the authors examine how identifications that exist through unconscious processes manifest themselves in psychoanalytic theory and practice.