In this article, I take an overview of a completed psychoanalytic treatment of a survivor of maternal and paternal incest. I present some hypotheses about clinical process in treatment of incest sequelae and some clinical data that appear to validate them. To account for the unexpected resilience of the analysand, I reframe the analysand's overt psychopathology in terms of adaptive mechanisms developed in childhood when the analysand was pushed to the edge of psychic tolerance. I briefly describe some other similar cases and hypothesize a generalization that repression, dissociation, and associated symptomatology are adaptively useful to incest survivors. Connections are made to some recent theoretical and clinical literature.