Ogden sets out a movement in contemporary psychoanalysis toward a new sensibility, reflecting a shift in emphasis from what he calls "epistemological psychoanalysis" (having to do with knowing and understanding) to "ontological psychoanalysis" (having to do with being and becoming).

Ogden clinically illustrates his way of dreaming the analytic session and of inventing psychoanalysis with each patient. Using the works of Winnicott and Bion, he finds a turn in the analytic conception of mind from conceiving of it as a thing—a "mental apparatus"—to viewing mind as a living process located in the very act of experiencing. Ogden closes the volume with discussions of being and becoming that occur in reading the poetry of Robert Frost and Emily Dickinson, and in the practice of analytic writing.

This book will be of great interest not only to psychoanalysts and psychotherapists interested in the shift in analytic theory and practice Ogden describes, but also to those interested in ideas concerning the way the mind and human experiencing are created.