The culture and society in which patient and analyst live and work may
silently impinge upon the analytic situation. The Dora case exemplifi
es the influence of pervasive sociocultural anti-Semitism on the patie
nt's personality development and psychological problems. Identificatio
ns with aggressor and victim were significant clinical and social issu
es. In its cultural and historical dimensions, the Dora case reflects
some pathogenic roots of the Holocaust.