This discussion responds to questions and comments made by Stefanie Solow-Glennon and Jean Wolff Bernstein. Here I further clarify different types of solitude and their connection to creativity and pathology. Many solitary individuals, creative and otherwise, are involved in a project that for them may be their most significant relationship. I speak about how culture shapes attitudes of aloneness and relationship, and I give examples from art (Frida Kahlo) and therapy (Morita Therapy) to illustrate the various functions of solitude. Finally I address ways that solitude works in therapy and how the necessary power differential places the analyst in a special place of aloneness.