In a wonderfully rich paper entitled “A Child Therapist at Work: Playing, Talking, and the Therapist’s Inner Dialogue,” Dr. Christopher Bonovitz discusses his treatment of an 8-year-old boy who was adopted at birth. Born 6 weeks prematurely, Jason spent 2 weeks in intensive care and resided in an incubator for 2 months. In the spirit of Comparative-Integrative Psychoanalysis (Willock, 2007), Dr. Willock draws on concepts from diverse psychoanalytic perspectives to discuss this case. He emphasizes contributions of the British Object Relations school, especially those Ogden (1989) utilized to formulate his neo-Kleinian concept, the autistic-contiguous position. Dr. Willock underscores the significance of prenatal life for the autistic-contiguous position. He highlights challenges to the sensory foundations of the bounded/grounded self/world experience presented by birth, particularly when there is problematic prematurity.