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This paper describes the transplantation of psychoanalysis from Europe to Los Angeles and the similarities and differences in followers, cultural attitudes, institutional organization, and patient symptoms. Psychoanalysis in both places attracted psychiatrists, psychologists, social workers, artists, writers, and movie people, all committed to “modernism” and cultural change. But special American conditions created greater institutional rigidity, medicalization, and a more diffuse patient symptomatology centered on the maternal relationship. Such conditions also fostered bitter disputes over modifications of psychoanalytic theory and practice which have only recently become less acute as the status of psychoanalysis has declined in America. © 2001 John Wiley & Sons, Inc. [ABSTRACT FROM AUTHOR]