By the early 1990s, Dr. Brandchaft’s distinctive clinical sensibility and his reconsiderations of extant theory had come together in a series of papers describing a tenacious defensive structure he had observed and its clinical treatment, and the stage was set for a fuller explication and elaboration of the syndrome he had identified as “structures of accommodation.” To delineate further the theoretical and clinical implications of his observations, in 1993 and 1994 Brandchaft produced a number of drafts of “Structures of Pathological Accommodation and Change in Analysis,” which were sent to a small number of close colleagues for comments. Although a published version didn’t appear until 2007, and the original manuscript was available only with Dr. Brandchaft’s consent, for over a decade the phrase “structures of pathological accommodation” or “pathological structures of accommodation” became increasingly widely known in the worlds of self psychology and intersubjectivity through Brandchaft’s own teaching and through the teaching and supervisory activities of his colleagues, students, and supervisees.