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A psychotherapeutic relationship that can legitimately be referred to as psychoanalysis has expanded considerably since the tempering of the Freudian and ego-psychological hegemonic definitions originally imported to America by European analysts fleeing the Nazis and lasting until the middle 1980s. To some extent, pragmatic considerations have gradually supplanted older metapsychological, though the latter still carry all too much weight in the way analytic practice is conceptualized.