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In this paper, I explore the profound potential, and the challenges, of mutual vulnerability in psychoanalysis. I describe ways in which analysts are penetrated by shards of our patients’ trauma, and how this interpenetrates with our own vulnerabilities and ungrieved losses (Harris, 2009; Levine, 2016). In my patient Lisa’s fierce determination to come into being, and in our mutual efforts to survive each other’s ruthlessness (Winnicott, 1969) we each struggle to recognize and own malignant “not-me” versions of ourselves (Bromberg, 1998), as we reach toward reparation, mutual recognition, and healing.