Abstract. This article explores ghosts–-defined as internalizations gone awry and experienced as inchoate absent presences–-that haunt our patients and that can be profoundly disruptive to clinical process. The case of a patient whose traumatic “ghosts” communicated by way of the bodies of both patient and analyst, via a process the author calls “interpsychic-intersomatic” transmission, is presented and linked to theory. How the analyst's personal ghosts became involved with those of the patient, in both facilitating and interfering ways, is also illustrated. Some of the clinical challenges of “laying ghosts to rest as ancestors” (Loewald, 1960/2000b) are explored.