This article presents a model of therapeutic action that takes into account both intrapsychic and intersubjective dimensions of analysis and the necessity of their mutual interaction in the development of self-reflexivity. Reflexive self-awareness is both an intellectual and emotional process; involves conscious and unconscious mentation; draws on symbolic, iconic, and enactive representations; and involves the mediation of the self-as-subject with self-as-object, the “I” and the “me,” the verbal and the bodily selves, the other-as-subject, and the other-as-object. Self-reflexivity is not the achievement of an isolated mind in private contemplation, as the traditional concepts of insight and self-analysis may have implied; rather, self-reflexivity always involves an affective engagement, a meeting of minds.