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The psychoanalytic and rehabilitation therapeutic perspectives maintain different professional approaches and points of view, uphold independent concepts and clinical tools, and rarely encourage professional dialogue between the two. Yet, a review of the deep changes that have taken place within each of these approaches over the past two decades provides a foundation to argue that both of these approaches are in fact mutually enriching, and can lead to potentially useful conceptual and technical development. The implications of these developments for theory and practice are discussed.