Psychosis is a mental condition where perception of reality is severely distorted and primitive defense mechanisms are mobilized. From the developmental to the psychoanalytic and biopsychosocial understanding of the procedures taking place in psychosis, theories point to the fact that early traumatic relationships and poor attachment are of key role. In this paper, I use the Kleinian theory of paranoid-schizoid mechanisms, Kernberg's developmental theory and Stern's theory of implicit relational knowing, to emphasize the different yet interrelated levels of considering the psychotic patient. I also link Podvoll's theory of “islands of clarity” to Stern's interpersonal perspective and propose that the lucid intervals within a psychotic condition are potential therapeutic “moments of meeting”. During those moments the therapeutic dyad waltzes along in a reparative mode. I premise my arguments on previous psychoanalytic theory as well as my understanding of the clinical material illustrated in the paper.