Ms. Todd's paper illustrates both the value of the analytic frame and the relevance of a flexible approach in response to the external reality. In this case, the impingement of the outside environment became an ongoing threat to the analyst's thinking and to the development of a safe and predictable therapeutic relationship. Ms. Todd's narrative of Joey's three-and-a-half-year analysis emphasizes the impact of external interference on the analyst's capacity to experience difficult affects with and for the patient. In addition, it highlights the importance of recognizing and working through one's countertransference resistance. This commentary focuses on Ms. Todd's work with Joey, so I will only refer to her work with his parents and other providers as it is reflected in her analysis.