In my response to Altman's commentary concerning the ubiquitous messiness of conflict, I suggest that since human meaning-making and fulfillment are rooted in experiences of suffering, loss, and limitation, change itself may be suffused with inherent conflict. I further explicate how the dialectic between continuity and change in growth often degenerates into the mutually exclusive categories of self-sameness and “otherness”. The omnipotent tendency of imperialistic self-extension may then also conflict with the subjectivity of others to “take their own turn.” Finally, I elaborate on the importance of the patient working through the trade-offs inherent in what Altman refers to as the “suffering of confusion.”