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For a successful treatment process to occur, it is necessary for there to be a few areas of significant empathic contact. This requires some matching up of relational premises between analyst and patient. If the number of areas of fit is not sufficient, or if there is an issue where there is overwhelming repulsion created in the analyst, the analyst is precluded from entering into the world of the patient, and the analysis may fail. In this paper, three clinical vignettes are used to illustrate how the experience of disgust in the therapist can both effectively, or unsuccessfully, be dealt with in the consultation room. Techniques that the therapist might employ to make use of the experience of revulsion are explored, including the application of an other centered listening position (Fosshage), which can be intentionally shifted to, in order to deepen understanding and prevent the analyst from feeling affectively “off center”. However, interpreting from the other centered position is also seen as potentially harmful if its sole intent is to protect the analyst from the feelings of repulsion that empathic listening creates, as it could activate a traumatic relational template of an unacceptable child and an unempathic caregiver. Fostering awareness of the origins, acceptability, and ways to cope with repulsion in the analyst helps the clinician to maintain his reflective state, minimize interference with his empathic capacity, and improve the chances for a successful analysis to take place.