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The author examines secrets as elements of psychic life and secretiveness as a factor in developmental experience and the formation of selfhood, while also considering conditions under which a secret becomes a painful and tormenting burden. Although a secret is typically defined as content a person does not wish to reveal, the author argues that, in its inner, dynamic nature, a pathogenic secret is better understood as conscious material that could not be heard or contained by a significant other. The secret is conceptualized as a thread leading to primitive, unconscious experiences linked to failures of containment and as a psychic “capsule” whose structure both preserves and confines unprocessed experience. The secrecy mechanism is related to more primitive forms of encapsulation. Using a contemporary literary text and a detailed psychoanalytic treatment, the author illustrates how such secrets may organize individual and familial life and how, within the transference–countertransference relationship, an attentive and containing analytic stance can facilitate the transformation of a tormenting secret into shared meaning and potential psychic change.