A case example of the psychotherapeutic treatment by a male therapist of a female incest survivor is presented in the present paper. The case illustrates how the evolution of the therapeutic relationship critically contributed to the resolution of thematic issues that defined the therapeutic work. The case also illustrates the use of hypnosis in facilitating the integration of traumatic memories and themes. The importance of a creative balance between autonomy and connection in the therapeutic alliance is emphasized. Data for the case include narrative material written by the client over the course of the therapy. © 1993 Plenum Publishing Corporation.