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The author traces the history of superego theories in Freud's work and shows how latter contributions to psychoanalytic theory by Gray, the Novicks, and Arlow have provided theoretical foundations for innovative treatments in psychoanalytic psychotherapy. Arlow's insight into the continuous debates and discussions within our patients provides us with an opportunity to join in these discussions. Vignettes from two mildly obesssional male patients seen twice and twice a week provide demonstrations of this approach in psychoanalytic psychotherapy.