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According to French psychoanalyst Jacques Lacan, psychosis is marked by a non-separation of the object a. Consequently, transference in psychosis remains at the level of duality and appears to have an inverted form, where it is the Other that looks for something in the patient and not vice versa. This makes the handling of transference challenging since there is no triangular structure that can mediate between the patient and the Other. The patient cannot rely on the Other to deal with difficult experiences of jouissance (marked by excess and senselessness). In this paper, we discuss our work with a patient following the logic of melancholic psychosis. Specifically, we discuss three types of interventions that aim to provide a space where the clinician can ‘manoeuvre’ within the transference, thus avoiding a relation that becomes persecutory or erotomaniacal in nature and providing the possibility of finding solutions in dealing with psychic suffering. First, we describe interventions aimed at incarnating a limited other. Second, interpreting the mad Other is discussed. Finally, we outline how the clinical work involves having an interest in the patient's affinities.