First the good--Interestingly told, generally jargon free, often insightful, gives a pretty good idea of how a psychoanalyst thinks about cases. Willing to be revealing about himself and his family.

Now the bad, a little stuffy/authoritative, sometimes overly abbreviated or formulaic, sometimes too obvious.

Now the ugly. He gets spit on several times. And he comes back for more. If I felt he loved this patient, I'd stay with him but he's too distant. He talks more about the case dynamics. If it's just work to him, I'd move on to a non-spitting patient. (My guess is he does love this patient but for a reason he'd have to tell us, wasn't willing to share it with us--too unprofessional, too vulnerable?)

Full disclosure: I'm a psychoanalyst myself so I didn't read this like someone who was unaware of much he said.