The individual mind of the patient, and how it works, are the central topics of this plenary address. In psychoanalysis we are always dealing with a mind—a mind with its own particular structure—and this is a fact of singular importance in how we listen to, understand, and communicate with patients. Techniques geared to this view are presented. The author reflects on and challenges some contrasting current views of psychoanalysis as primarily coconstructed or as a relational matrix. Technique according to this view highlights the analyst's subjectivity and actions as central to treatment.