In calling for both honest, engaged conversation and structural, material change, including redistribution of power and resources, Sadek offers an orienting vision for racial justice within psychoanalytic communities. Engaging with these ideas, this paper considers how dialogue and structural change, as well as integration in both an intrapsychic and a social, structural sense, might be linked with, and build on, each other. Drawing in part from personal experience, I also reflect on the role that sustained, collaborative work across racial difference - with a pragmatic focus on building something new together at an institutional level, as well as an attentiveness to process at an internal and interpersonal level - might play in fostering the kinds of integration and change Sadek advocates.