Now that we are several years into the second century of psychoanalysis, we can look around us and readily observe that our discipline has changed radically in so many ways that Freud would probably not recognize it. The hysterical patients that served as inspiration for Freud's theories of pathogenesis and treatment have disappeared from the official nomenclature, replaced in large measure by such diagnostic entities as histrionic personality disorder and borderline personality disorder (which most clinicians find barely distinguishable). However, in my day-to-day practice as an analyst, supervisor, and consultant, hysterical patients seem to be ubiquitous. The literature has not kept up