A patient’s experience of sexual or romantic feelings about the therapist has been called sexualized transference. The concept dates back to Freud, who posited that some patients fall in love with their therapist because of the context of psychoanalysis, not because of the actual characteristics of the therapist. Later theorists distinguished between “erotic transference,” which can involve sexual fantasies that a patient realizes are unrealistic, and “eroticized transference”—a more intense and problematic pattern that may include explicit sexual overtures from a patient.