The experience of interiority is central to the psychoanalytic endeavor. Interiority represents the base from which we can recognize sameness and difference so that engagement with others does not obscure or negate a feeling of personal aliveness. We confront a tricky clinical situation when working with individuals who cannot access and articulate interior experience. I discuss the development of interior experience and the clinical dilemmas we face when our patient cannot contact or sustain inner process. In one clinical situation, my patient located desire in the Other and was unable to “find” his own wishes in the dyadic context. In the second, inner states were consistently attributed to the Other who was held in a sadistic position vis-è-vis the self. In both treatment situations, ordinary analytic work tended to recapitulate the patient's reliance on the Other for interior definition.