This article presents theoretical considerations and case material from the ongoing psychotherapy of an offending therapist whose license was suspended for having sexual relations with a patient. Problems of inadequate training and mistaking the transference as real are deemed important factors contributing to the abuse. However, most important was the offending therapist's misuse of his countertransference love to circumvent the patient's transference rage and hate. The therapist's narcissistic vulnerabilities (including early sexualization of pregenital needs and grandiose compensatory rescue fantasies) served as unconscious motivating factors for the acting out while his problematic relationship to authority figures rendered the transgression relatively ego-syntonic. Implications for supervision and training of psychotherapists are discussed.