Little has been written about the analytic function of suicidality from the post-Kleinian perspective (Klein+Bion+Tustin+…n) and its emphasis on transformations in O through the transference-countertransference relational matrix (compare, Brown, Grotstein, Ogden and Mitrani). This single case study using a process approach shows that suicidality in the treatment of a psychotic patient was his way of showing his analyst how to reach him in the depths of abject psychotic despair, expressed as his experience of himself as an “abortion” with no right to exist. Reaching the patient through this trial of suicidal states is viewed as a dialectical progression from “bearing wit(h)ness” to “sharing wit(h)ness,” proposed as two aspects of what Eshel has termed analytic “presencing” (Eshel, 2005, 2013, 2014). This required a transformation in the analyst facilitated by enactments to differentiate between working in the transference as the primary object (“containing”) and the background object of primary identification (“holding”). The case is presented in the genre of creative non-fiction to better convey the lived experience of the patient-analyst dyad as both evolved (and resisted evolving) together over the course of treatment.