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An accomplished psychiatrist/psychoanalyst presents details of his ego psychological analysis during training and begins a second analysis some 20 plus years later to address remaining issues of “work and love.” The second analysis was very different from the first. This author suggests that the differences can be accounted for by the paradigmatic changes in psychoanalytic theory and technique that have occurred over the past 60 years as well as by the particular subjectivities of these two protagonists and their co-creation of a facilitative, growth-promoting intersubjective field.