A discussion of Deborah Waxenberg's clinical case presentation of a woman with severe inhibitions in work, in intimate relationships, and in the realm of sexuality. The case material is considered in terms of its impact on a reader/listener as a way to consider parallel process in treatment and in supervision. Questions of gender identity, of sexual orientation, and enactment and its sequelae are addressed, along with questions of the patient's narcissism in relation to her experience and representation of her parental imagoes.