This essay, a commentary on Sorenson's “Psychoanalytic Institutes as Religious Denominations,” explores a number of questions concerning the fate of psychoanalysis and the institutions that support it. How can psychoanalysis best survive its current travails, transcend the internecine conflicts that have always plagued it, and ride its contemporary reformation into a vital, relevant and creative second century? Approaches to training and to institutional structure at several contemporary relational psychoanalytic training programs are discussed and contrasted with more traditional models as a way of suggesting some promissing directions for the future growth of psychoanalysis as a discipline.