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Christopher Bollas, rightly described as “one of the most creative and inspiring writers in the history of psychoanalysis” (Jemstedt 2011, p. xii), recounts in this heartfelt and beautifully written book what he has learned from working with schizophrenic patients beginning in the 1960s and continuing over five decades of clinical experience. The book, which he describes as a companion piece to the earlier Catch Them before They Fall: The Psychoanalysis of Breakdown (Bollas 2013), takes the form of a chronological memoir of his entire career as a psychotherapist, beginning as a twenty-three-year-old graduate in history from the University of California working with autistic and schizophrenic children at the East Bay Activity Center in Oakland; through his introduction to being a psychotherapist while a graduate student in English literature at the University of Buffalo; his training in psychoanalysis at the London Institute for Psychoanalysis and the Tavistock Clinic in the mid-seventies; his twenty years of private practice in London, during which he treated mainly severely disturbed psychotic patients; his work at the Austen Riggs Center in the mid-eighties; and on into the present. The book closes with a portrait of his work with a patient living on a remote island in a Norwegian fjord, with whom he spoke five days a week on the telephone from his farmstead in Pekin, North Dakota, where he spends half the year. Over the course of these fifty years, Bollas has written over a dozen books, which in their cumulative effect amount to a uniquely original re-visioning of the psychoanalytic enterprise from the ground up.