Situating his current paper (this issue) within the developing dialogue between psychoanalysis and music, as well as within the evolution of Markman’s own definitive contributions to that dialogue, this discussion identifies Markman’s inspired, embodied musicality as the primary force animating Markman’s writing and clinical work. Markman’s remarkable taxonomy of rhythmic styles of psychoanalytic accompaniment, formed entirely by his clinical experience, is highlighted and elaborated. The value of music as a source of metaphor is contrasted with an understanding of the actuality of music as a dimension of psychical life that is cultivated and healed through psychoanalytic accompaniment. Using “process notes” from a music documentary, the power of actual music is located in the fabric of culture, conducted through musical sound and forms of movement, including the rhythmic practice of the psychoanalytic frame and the antiphonic discourse of psychoanalytic process.