This article aims to focus on the patient's contribution to the working through process in psychoanalysis. One intention is to illustrate that the focus on the interventions of the analyst in any therapy has led to an under-emphasis on how patients process information in their analyses. Via examination of earlier and more current theoretical views on working through, the author illustrates through a series of clinical vignettes, how patients participate in the change process. Some hypotheses about how change occurs in all analyses are offered.