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Our theories about the body in the analytic consulting room influence our modes of therapeutic listening and practice. In this article, we address ourselves to the discourse of the body on the couch. Is that an instance of a discourse rooted in medicine, focusing on the biological organism? Is it a discourse of the physical body as a foundation for drives, instincts, and impulses that operate independently of the interpersonal context of analysis? Is it an expression of the body that reflects personal experiences with internal objects? Does it reveal social relationships, body rituals, and practices? Is the body viewed through the lens of cultural influences related to gender, race, religion, or class? Does it represent a phenomenological experience, embodying the wounds of the lifeworld? Is it a spectral body of the mirror stage? We shall try to argue that the discourse surrounding the body in the analytic space should be understood metaphorically as a rhetorical expression of unconscious fantasies that are manifested and acted out in transference. This interpretation may still acknowledge a tangible bodily presence or a particular medical condition, but the focus remains on the phenomenological meaning of the experience. We will further explore this discussion through three brief clinical examples.