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In this discussion, the author considers Steven Stern’s notion of the “analytic adoption of the psychically homeless” (p. 24–42) as a further articulation and extension of the project begun in his recent book, Needed Relationships and Psychoanalytic Healing: A Holistic Relational Perspective on the Therapeutic Process (2017). Stern is suggesting a conscious, eyes-wide-open acceptance and willingness on the part of the analytic therapist to consider, in the case of the psychically homeless patient, an extended delay, suspension, or even a conscious relinquishment of the expectation that a successful or good enough treatment will, at some point, require a termination phase, or some kind of typical ending. Stern’s concepts of psychic homelessness and mutual analytic adoption begin to give language, legitimacy, and most importantly, clinical dignity, to very long-term treatments that span years and decades. As helpful as it is to name this clinical phenomenon, this author suggests that in doing so, Stern runs the risk of giving a unique experience the quality of a speech act - a kind of declarative wholeness - that to this author’s mind, goes against the very freshness and specificity that Stern is wanting us to grant each dyad deeply involved in the process of shaping a unique meaningful needed relationship. That said, this author concludes that Stern’s bold work opens up this entire therapeutic realm for our open-minded and open-hearted future exploration.