R. F. Bornstein (2001) points to real problems but underestimates what is going on now clinically and scientifically, exaggerates the past acceptance, and undervalues the scientific value of clinical observations. He ignores the role of economic factors in determining the status of psychoanalysis. He rejects repression, castration anxiety, penis envy, free association, and dream analysis. Clinical observations from World War II, ordinary clinical practice, and experiments amply demonstrate the phenomena of repression (painful memories, fantasies, impulses, feelings, or connections being kept out of awareness). Free association and dream analyses are powerful therapeutic techniques. Castration anxiety and penis envy (not innate) can sometimes be observed. Psychoanalysis includes powerful ideas and effective therapy as experienced by patients and reflected in research.