The author views every symptom, conflict, defense, or unconscious fantasy as a result, in part, of an adaptation. For example, cumulative traumas from childhood aren’t just traumatic, but become part of an individual unconscious fantasy while potentially contributing to a way of living that can lead to certain satisfactions along with crippling inhibitions. Analyzing adaptations, along with the other components that bring patients to our offices, is necessary because of a paradigm change in the goals of psychoanalysis from reconstruction to building more complex representations from simple representations. Further, the analyst’s appreciation for forces that lead to adaptations helps reduce intense super-ego pressures. Clinical examples are presented to demonstrate the author’s perspective.