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This article examines a critical asymmetry in psychoanalytic practice: The focus on how patients are treated rather than how they treat the people in their lives. It elucidates how this asymmetric attention emerges from structural features of the psychoanalytic setting that can obscure the analyst's understanding of patients' interpersonal functioning. Central ideas to be explored include the potential negative side effects of empathy; the perils of the analytic relationship's insularity; epistemic zealousness when extrapolating dynamics from the analytic relationship to patients' other relationships; and the ways in which dominant narratives about patients can be self-serving for both patients and analysts. As will be discussed, these factors may lead the analyst to privilege particular narratives that overlook patients' possible negative contributions to their relationships. Clinical examples and recommendations will be offered to counteract these structural vulnerabilities in the analytic situation. Ultimately, this article suggests that psycho-analysis's greatest strength—providing profound access to patients' subjectivity—may also constitute a limitation in understanding patients' full relational impact.