This article begins with the premise that the analyst’s subjectivity and the events in the life of the analyst shape the context in which treatment occurs. This is especially true when the analyst is chronically ill. Long-term chronic illness has a unique impact on patients’ experience of their therapy, their sense of who the analyst is, and their sense of the analyst’s reliability. This article focuses on the changing pattern of patients’ narratives and how they demonstrate the patients’ sense of the analyst’s involvement, which fosters mutuality in the attachment to the analyst that is transformative.