The concept of therapeutic action among most schools of psychoanalysis has solidly progressed from the original Freudian catharsis-insight model to an intersubjective-insight perspective. This article will focus on the re-conceptualizations of therapeutic action that have evolved over the past 80 years in interpersonal psychoanalysis and among many other psychoanalytic orientations. A clinical example will follow to illustrate an intersubjective-insight model of therapeutic action.