By comparing psychoanalytic transformational processes to political revolutions, the author advances the psychoanalytic project in several ways. The analogy extends British object relations theory by elaborating upon Fairbairn's (1952) observation that psychoanalysts arduously compete with their patients' devotions to their internal worlds. In essence, he argues, and by exploiting the ‘mutual but asymmetrical’ (Aron, 1991) intimacy of the psychoanalytic dyad, psychoanalysts foment change in individuals like revolutionaries alter governments. The comparison to political revolutions also highlights how changes in the behaviour of other persons in patients' lives are necessary for transformation. Clinical insurgencies, when successful, alter patients' intra-psychic structures, interpersonal relationships, and overall behavioural patterns. The paper includes two case examples, one a successful revolution and the other not, as illustrations.