Perhaps the patients Freud called narcissists were people so lacking in empathy and capacity for love, so fraudulent and immature, that today they would be diagnosed with NPD. But one wonders whether any women and too-feminine men might have resisted making the mistakes transference demands—falling in love with the analyst, projecting their father-attachments onto him—for some other reason. From the perspective of Freud’s emerging “science,” if they didn’t need therapy, their self-sufficiency must be a case of arrested development; if their sexuality was not visible as healthy from the perspective of the analyst’s theories, they were immature. It’s not something Freud considers, the possibility that such resistance might actually have been exactly what it looks like: an aversion to the analytic situation, with its imbalance of power, its detached and disinterested analyst, its required performances of colossal mistakes, its falseness and its theatrical repetition of the past, and that such resistance might make some sense, in a room where the patient’s sexuality or gender is treated as something to overcome.