In this innovative and collaborative paper (Sandberg & Beebe, this issue) self and interactive regulation and the role of gaze are astutely demonstrated. The clinical material focuses on a patient who is unable to make eye contact due to early attachment trauma. This patient’s perceptual world, identified with maternal hatred, is disturbed by a delusional self-loathing. Initial analytic work, which provided an insightful and benign presence, was enhanced by video viewing of the second analyst’s facial reactions. The video introduced, on the non-verbal, implicit level, a process of moment-to-moment contingent matching and being matched. This visually experienced affective resonance proved to be transformative for the patient.