Davanloo’s intensive short-term dynamic psychotherapy is a brief dynamic therapy that focuses on transference feelings and resistance. By doing so, therapist and patient can work together to enable the patient to have a full experience of unconscious feelings – namely rage, grief and guilt. However, this experience of unconscious feelings is not the only therapeutic factor. In addition, the therapist must expertly apply multidimensional unconscious structural changes. Doing so allows the patient to make conscious sense of unconscious experiences. This article focuses on the Montreal Closed Circuit training programme, which is a new teaching format for Davanloo. A case will be presented which will highlight the application of multidimensional unconscious structural changes in a highly resistant patient.