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The following is a discussion of a case presentation by Katherine (Kate) Oram in celebration of the 50th anniversary of the New York University Postdoctoral Program in Psychotherapy and Psychoanalysis. The discussion focuses on the issue of aggression expressed by the patient and the analyst from the perspective of interpersonal theory. How aspects of unspoken anger and resentment are woven through an abiding connection and development of trust is addressed. The relevance of aggression to the particular features of this case's termination and posttermination phase are explored as well.