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Some of our patients arrive in our practices as life-long emotional orphans—that is, in states of psychic homelessness. In such cases, long-term analytic treatment may offer the possibility of a process of mutual analytic adoption, and with it a deep sense of belonging. This idea connects with, but expands, Stolorow’s concept of “a relational home,” and is probably closest in spirit to Winnicott’s way of working with certain of his patients. I propose three principles for treating psychically homeless patients: (1) The analytic therapist must be not only an empathic responder but also an active agent who comes to feel a personal investment in the patient and, in a sense claims the patient as an analytic adoptee; (2) There is often a blurring or loosening of the boundary between the professional role relationship and a more personal relationship of authentic mutual investment and caring; (3) Because of the patient’s greater than usual need for the analyst’s availability, there may be alterations in the frame, especially with regard to the need for the analyst’s time and how the relationship exists in time. All three principles are grounded in paradox and involve an unconscious collaboration between patient and therapist wherein the real and the symbolic interact in complex, paradoxical ways. These processes are illustrated in the case of a patient who achieved such an experience of belonging in a transformative 40-year analytic treatment.