Many individuals find that the use of an analytic couch allows them to speak more freely about their most personal concerns, and to access experiences that have usually been kept out of awareness. For others, the experience of a face-to-face dialogue seems essential for the unfolding of the process. Whether to sit up or recline on the analytic couch will be a decision you and your analyst will make together and, in the course of an analysis, it may vary over time.