There is a tendency to see the status of contemporary child and adolescent psychoanalysis in pessimistic terms. But a careful comparison of the current-day scene with the past suggests that the situation is more nuanced. These are both the best and the worst of times. Looking back at the evolution of child analysis over the past 100 years reveals significant current-day progress despite some worrisome difficulties that can be rectified. This history is reviewed, and the many positive signs are delineated. In summary, modern day child analysts must continue to be proactive in demonstrating the value of knowledge and experience with development and clinical child work for analysts who work with all ages. Supporting an integrated curriculum is key to keeping child analysis in the forefront of psychoanalysts' minds.