Use of a couch as an aid to treatment is the most unambiguously operationalized aspect of psychoanalytic technique. But the theoretical rationales for the traditional couch method are not entirely convincing. This paper presents a review and a critique of some existing rationales. A new, two sessions per week method is described involving consistent alternation of patient posture from lying down on the first day of the week, to sitting on the next day. A theoretical rationale for why such an “alternation method” may foster the acceptance of interpretations better than the traditional technique is presented. It is suggested that organization culture norms of the psychoanalytic school have operated to restrict the citation of works from related psychological fields and, hence, suppressed dialogue and experimentation with methods of treatment.