This paper presents a clinical psychoanalytic examination of the location of meaning of the symptoms in patients with reduplicative paramnesia. The examination is set up first by a consideration of the countertransference problem—of awareness in another—to prepare for the views on the cases of reduplicative paramnesia. The psychoanalytic viewpoint is then contrasted with the psychiatric and neuropsychological perspectives. These differences are used to demonstrate a psychoanalytic standpoint in the debates about the location of meaning. Some conclusions are also drawn about the limits of empathy, the charitable requirements for interpretation, and when interpretation is likely to be an effective intervention.