The American Psychoanalytic Association in the last decade has undergone th
e most extensive organizational changes in its history. Efforts at inclusio
n, outreach, and democratization have halted a decline in candidates, activ
e members, and cultural influence and led to a vibrant, growing organizatio
n, as new professional groups have gradually been included in the associati
on's training programs. The goal of increasing training opportunities for m
inority candidates has only partially been achieved. A recent effort to off
er affiliate status to psychotherapists and students has begun, though with
modest results. Alliances with other psychoanalytic groups have led to cre
ation of the Psychoanalytic Consortium and steady progress toward external
accreditation of institutes and licensure of psychoanalysts. In the interes
t of unification there is a need to develop pathways of affiliation and mem
bership for independent institutes and societies that desire to join the as
sociation. Democracy has in large measure already been enhanced at the nati
onal level. Deliberations are now transparent, and an invigorated Executive
Committee willingly shares power with the Executive Council. Candidates no
w are deeply involved in the governance of Board and Council and their comm
ittees. But only when all members and candidates enjoy full voting rights a
nd all members are able to serve as officers and Executive Councilors will
the decades-long effort to democratize the association be concluded.