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Freud used the term, transference neurosis, in two ways. The first referred to a category of psychopathology designating neurotic patients capable of forming transference relationships and therefore treatable by the psychoanalytic method. Clinical work shows us that we cannot exactly correlate transference neurosis, in this sense, with particular symptoms. Phobias and obsessions, for example, occur in persons of widely varying psychopathology. The second use of the term referred to a product of the treatment work which leads to the patient's neurotic conflicts becoming organized around the analyst as the central transference figure. This represents a change in the form of the neurosis, giving information about its history and development, and it may be marked by a shift in manifest symptomatology. The author presents a case illustration in which the onset of a woman's neurosis in adolescence included sudden hemorrhagic cystitis following her first intercourse. The symptom disappeared thereafter, until an interpretation connected her sexual activity with her feelings for the analyst. Immediately following, she developed another episode of hemorrhagic cystitis.