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This presentation will explore the clinical process between a sighted psychotherapist and her blind adult clients through a series of short, but experience-near, case vignettes. Given the limited psychoanalytic literature about the unique issues in the psychotherapeutic treatment of blind and visually impaired individuals, the available literature is augmented with findings from neuroscience, infant observations, developmental research, and disability studies. While eyesight is among the right-brain processes that are central to human communication, development, and connection, infant observations and neuroscience findings indicate that the attuned parent and therapist can find alternate channels of meaningful connection. By far, the greatest problems for blind individuals stem from neglect, isolation, and social oppression. Faced with societal ableism and othering, the blind person may internalize malevolent projections, resulting in debilitating feelings of shame and inadequacy. A relational self-psychological approach to psychotherapy can help to foster relational connections with a shared sense of humanity that concurrently recognizes the patient’s unique subjectivity. In analyzing the forward edge of the transference, the therapist focuses on bolstering healthy development rather than on healing pathology, a strength-based approach consistent with the philosophy and interventions in vocational rehabilitation centers. This self-psychological framework coupled with Bionian field theory can offer clients additional means of dreaming a rich fulfilling future on their clinical journeys toward emotional growth and resilience.