In this chapter Aron updates a previous survey of clinical and ethical concerns in the presentation and publication of case histories. Recent professional and social developments provide patients with greater access to psychoanalytic writing and increase the complexity involved in the decision to publish case material. Although asking for informed consent may risk alienating a patient, a series of cases demonstrate the ways in which patients perceive the request as collaborative or benefit from reading the publication. Summarizing a range of opinions from most conservative to radical, Aron advocates for an individualized approach. He concludes with a series of ethical, educational, legal, and clinical considerations applicable from beginning student to advanced psychoanalyst. The author advocates that therapists presenting and publishing extended case histories seek consultation before proceeding, as our case presentations should be regarded as forms of participation in meaningful clinical enactments. The author emphasizes the urgency for psychoanalytic educators to raise these questions and concerns with students from the start of their clinical education.