What happens if you see effects rather than symptoms? Looking at symptoms ask you to consider causes, and almost inevitably results in a pathology; noticing effects leaves you examining what something does, and whatever that may be, it may very well not be pathological. In fact, the degree to which psychotherapists invent pathologies for their clients becomes clear. As does, of course and often surprisingly, the revelation that a pathological symptom may be doing something very helpful. Freud describes all of this; it's nothing new. However, it seems as if something may have beocme lost in translation - into English, and over time.