DescriptionThis case study chronicles the five-year therapy of a woman struggling with post-stroke limitations. It illustrates not only the necessary grief work but also the development of the positive transference. The transference is interpreted less from a classical perspective and more from the intersubjective lens, allowing a mutual close connection to further fuel the transformation. The case study demonstrates how intimacies are managed in the treatment room, how the patient's mind is opened to new possibilities, and how phenomenological listening and psychoanalytic training all help to prepare the therapist to use the transference to affect change. The re-definition of practice for a classically trained analyst is illustrative of the transformation for the therapist, maintaining a professional use of self while intensifying the complexities and intimacy of the work.