Although psychoanalysis has continued to make use of the phenomenologically based nosology of clinical psychiatry throughout its existence, it has simultaneously cast doubt on the validity of diagnostic entities rooted in the description of behavior. The most cogent explanation of the grounds for this skepticism is the widespread conviction that only the nature of the psychoanalytic process in any given case can reveal the actualities of psychopathology. The same point is sometimes stated in terms of maladaptation defined as the specific response of the individual to the more or less standard, quasi-experimental, setting of the “psychoanalytic situation.” In other words, the psychoanalytic diagnosis consists of the identification of a sequence of transference responses, wherein a wide spectrum of behavioral phenomena, both symptomatic and characterological, that were typical for a prospective analysand before the start of treatment are transformed into analyst-patient vicissitudes in the analytic setting.1