A detailed study was done of the five occurrences of a striking conversion symptom that appeared in the first 400 hours of an analysis. This study focused on the dynamics of the resistances and of the transference to explain why the symptom appeared when it did. It was possible to identify a consistent, repeated pattern of shifts in the resistive dynamics in response to interpretations of resistances that led to the emergence of the symptom. This type of process was viewed as demonstrating the concrete expression of the transference neurosis, distinguishable from the characteristic transferences that are seen moment-to-moment throughout a treatment from beginning to end. The implications of this distinction for the theory of the concept of the transference neurosis have been presented, emphasizing their importance in the clinical setting and for clinical theory.