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This paper discusses Janine de Peyer’s “Unspoken Rhapsody: Female Erotic Countertransference and the Dissociation of Desire,” elaborating on the professional and clinical aspects of working with female erotic countertransference with male patients, with a focus on dissociation and containment in these contexts. Perspectives from evolutionary psychology and affective neuroscience are offered to better understand how female analyst/male patient dyads differ from that of male analyst/female patient.