As a co-keynote address, the purpose of this article was to provide a theoretical context for the 20th annual International Self Psychology conference. I delineate, ever so schematically, the revolutionary paradigm changes that have been taking place in psychoanalysis over the past 25 years, the new model of transference with implications for the concept of enactment, and the implicit and explicit dimensions of analytic work, leading to what, in my view, is the conceptualization of 2 fundamental pathways to analytic change. I conclude with a focus on the radical, ongoing extension of the analyst's participation, using illustratively the cocreation of analytic love. The leading-edge question guiding my discussion is, “How does analytic change occur?”