I have questions about the enormity of feeling I can sometimes have towards my patients’ others-those significant people who are not actually attending sessions but who have a powerful presence in the treatment and in my mind. In an effort to explore this phenomenon, I examine relevant literature in the context of my work with Freddy, whose deceased wife, Eve, seems to take over our sessions at times, distracting me from my actual patient. I go on to describe some details of my inner process during a session with Freddy in which internal others are very present. I conclude that when internal others seem to dominate, there may be complementary experiences of internal absences and unmourned losses being activated in both patient and therapist. The patient may not be able to change his internal relationships, until the therapist changes hers.