For more than two decades, conferences and publications have declared that psychoanalysis is in a state of crisis. Yet there has still been no radical reorganization or reorientation of the discipline. As a result, it has become marginal. In the 1960s, psychoanalysts held a large proportion of the developed world’s professorships in psychiatry; now they account for practically none. The same is true of professorships in psychology; and hardly any of the graduate programs in clinical psychology are psychoanalytically oriented. Finally, although many psychoanalytic institutes continue to attract candidates, scarcely any patients now sign up for classical psychoanalysis.