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In this discussion of Amy Schwartz Cooney’s paper I heartily endorse her use of the ideas of Anne Alvarez, particularly as regards the vitalizing dimension of our clinical work with adults. I link these ideas with the current sea change in psychoanalysis about the need for theories addressing the ground level of contact making. I question the continued reliance on the concept of enactment and propose instead the establishment of a new language for working at this level, drawing on the writings of field theorists, infant–parent research, and child analytic work in the hope of discovering the medium that best captures the imagination and embodied and vital sensibility of our patients. I end by picking up on Cooney’s reference to necrotic zones and their relationship to “death equivalents” and what we may consider the life/death continuum.