Most analysts set themselves to the long and demanding task of getting to know, augmenting, evaluating, and selecting a kit of conceptual tools that can be gathered together from the literature, seminar studies, and congresses. The goal of getting equipped this way is to integrate new theoretical breakthroughs that prove themselves to be useful for understanding a continually mutating clinical reality. Neurotic "passages" appear to be inevitable in most analyses, and the difference compared with the past seems to be mostly in the frequency and intensity with which they characterize complex pathological configuration. Psychoanalysts' theory and diagnostic tool kit is in constant change- so much so that rereading clinical cases of "hysteria" from the pioneering era more and more often suggest a diagnostic reformulation in the direction of "borderline states" or even psychosis.