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This essay elaborates on some of the ideas set forth in “It Takes One to Know One” in response to Peter Shabad's and Paul Williams's commentaries on that paper. In particular, the distinctions between process and mental structure and between unconscious process and relationship are explored and developed. An attempt is made to clarify some of the similarities and differences between British object relations perspectives and some U.S. relational ideas as they apply to these distinctions and their relevance to clinical technique.