How can we – as psychoanalytically oriented therapists – best position ourselves moment-to-moment during the actual clinical hour as we sit with our patients, whether our patients are different from us or seemingly very much the same? More specifically, how can we ever truly “know” another’s experience? Perhaps it could be said that the greatest gift we can offer our patients – and our greatest challenge – will be our ability to listen to them with open heart, open mind, and humility. Countertransferential judgments, preconceptions, and biases are constantly threatening to interfere with our ability to be fully present and compassionately engaged with our patients. It is therefore critically important that we engage in a lifelong process of self-reflection, self-critiquing, and ongoing examination of our own beliefs and identities so that we do not do patients the disserve of retreating from their vantage point.