In this review of Ritual and Spontaneity in the Psychoanalytic Process, I suggest that Irwin Hoffman's claim that his proposed paradigm of constructivism is revolutionary becomes more comprehensible and substantial if we realize that constructivism not only is an epistemological stance but is a profoundly ethical and even theological position that sees construction as construction in the face of death. The pronounced dialectical approach Hoffman is espousing and developing enables us to see the underside of uncertainty not only as epistemological complexity but as the ever present potential for moral fallibility and guilt.