The first great bridge between psychoanalysis and social work came wit
h the concepts of ego psychology which provided a synthesis between th
e worlds of the social order and the psychological depths. Current psy
choanalytic theorists now question whether any one psychological theor
y is sufficient to describe the complexity of human experience, and su
ggest that each theory has a piece of the truth because it states some
thing that is correct about the patient at a particular time in the tr
eatment. Adherence to multiple theories makes a complex problem for th
e clinical practitioner, who must decide from which perspective to res
pond to the clinical material of the moment. Psychoanalytic theorists
are also questioning the degree to which it is actually the content of
the therapist's interpretations which brings about change in the pati
ent. This article suggests that these developments in psychoanalysis,
with their emphasis on therapeutic flexibility and the importance of t
he relationship will renew and reinvigorate the bridge between psychoa
nalysis and clinical social work.