Unlike psychotherapy, where the transference relationship between patient and therapist is central, art therapy focuses on the patient's art work. Our communications remain within the symbolic domain the patient created. When our patient's artwork expresses inner truth, it invariably also attains formal consistency, thus good formal quality. In this work we are aided by the patients'desire to give form to their anx ety, preoccupation, and fantasy. We hope that giving form to such mate rial will make it possible for them to contemplate their art and come to terms with what they see Not every kind of art therapy gives the emphasis to form that I have Margaret Naumburg, who in the 1940,'s tried to make art therapy accept able to the psychiatric establishment then in power, encouraged her patients to make quick sketches only, and then to free associate to their own productions. She also encouraged patients to make free scribbles to find images in the scribbles, and elaborate on them. Such pictures are apt to bring forth latent material and can be helpful. But again, no high formal quality can be expected to emerge. We can understand that art therapists who apply such methods will have little opportunity to con- template the phenomenon of quality in their practice To conclude, whenever a patient's drawing, painting, or sculpture. expresses some inner truth forcefully without being hindered by unnec- essary additions, the work will attain good formal quality. Inner truth and good form constitute two sides of the same coin. In the cultural wasteland in which we function, it is surprising to encounter good qual ity in the work of artists, art therapists, and patients. It is not surprising, therefore, that young art therapists should be puzzled by the concept of quality AMERICAN JOURNAL OF ART THERAPY. VOL 40, MAY, 2002