Patients who express intense, erotic attraction to their analysts pose special treatment challenges that may not respond well to the analyst's interpretive efforts. A detailed case presentation is offered, describing 1 such patient, who demanded that her analyst convey his interest in her concretely, insisting that he offer her gifts, tell her he loved her, and even engage her sexually. It is argued that such concrete conveyances reflect, in part, the patient's attempt to self-and mutually regulate intense, affect-laden experience. The wish that the analyst demonstrate love for the patient expressed in modulated form her history of deeply painful and frustrated longings, as well as her hope for a different outcome within the treatment relationship. Finally, their spontaneous, shared playfulness evolved into a form of ongoing relatedness that provided the patient significant understanding and acceptance while providing the analyst an appropriate means of responding to the patient's erotic demands.