Male hysteria in this article is viewed as a historical, developmental, theoretical, and clinical area of study. The article highlights the importance of contextualizing various views of male hysteria, and follows its ongoing struggle for recognition and legitimacy. Emphasis is placed on the importance of a contextually-nuanced clinical stance with the primary focus being the therapist’s listening perspective. The article describes shifts in my thinking and treatment of male hysteria over the past four decades. Conceptual shifts regarding treatment roughly parallel in time with the advances taking place in the broader field of psychoanalysis, and these shifts are illustrated in the case material provided.