This essay offers a comment on Bringing the Plague: Toward a Postmodern Psychoanalysis from the perspective of British object-relations psychoanalysis. It reviews the different histories of psychoanalysis in Britain and the United States, noting the continuing clinical focus of the field in Britain, in both the public sector and in private practice, as a source of continuing strength. Psychoanalysis does not face the scale of crisis in the United Kingdom that it now does in the United States, possibly because it has never achieved the same degree of influence. I argue that a more important difference than that between “modernist” and “postmodernist” approaches to psychoanalysis lies between all psychoanalytic psychotherapies and the behavioural and pharmacological approaches to psychic distress that are becoming so invasive. A positive aspect of psychoanalytic modernism was its assertion of a shared human nature and of the right of all individuals to be treated as autonomous subjects.