This paper demonstrates three points: First, the disadvantages and problems related to the concept of "structural change," especially in the course of clinical psychoanalysis, and the advantages in replacing that term with "psychoanalytic change." Second, the ways in which following the progress of analytic work "in terms of the vicissitudes of the resistances as they emerge, are recognized, interpreted, and analyzed" are the most effective method of describing the psychoanalytic process and "psychoanalytic change." Third, four sessions in the second year of the analysis of a male patient (together with some background material) are offered to demonstrate how these theoretical concepts and technical principles are utilized in the psychoanalytic work.