There is little attention in the literature to the dyad of the woman therapist and the man patient; as a result, the woman therapist is faced with a poverty of theoretical accounts upon which she can draw in her clinical work. Although analytically-oriented work must focus on individual histories rather than cultural internalizations, analysis of the meanings of power and sexuality for men and women is critical to understanding the dynamcis of the woman therapist-man patient dyad. The transference of man patient to woman therapist is characterized by an alteration in the relationship between power and authority; in this the woman therapist must negotiate a balance different from that of the male therapist. In the process of countertransference the woman therapist may respond to the erotic transference of her male patient with feelings of being threatened, guilt, and shame; she may feel frustrated at being cast as the bad mother; or she may transfer feelings about her father onto her patient. In the supervision process as well, little attention is paid to the dynamics of the woman therapist's work with male patients. Without a literature that specifically addresses these transference and countertransference issues in the female therapist-man patient dyad, the woman therapist is at a disadvantage in conceptualizing the treatment process. (MCF)