In this discussion, I elaborate on the question of why fear, per se, has been relatively absent from psychoanalytic dialogues, and of how to think about the relative primacy of fear, aggression, and infantile sexuality. In response to Harris, I consider some of the ways that contemporary neuroscience and evolutionary theory deepen this discussion. And, following Lieberman, I reflect on why it can be so difficult to hold and process our patients’ fear and trauma.