The therapeutic process requires both the willingness to be vulnerable and the capacity to tolerate it despite the risks involved. Martin S. Livingston reminds us that it is not just the patient who needs to take these risks, but the therapist as well. Those clinicians who avoid vulnerability via the protective detachment of their professional role cannot engage in a fully responsive, emotionally present way to the fragile, often fleeting, moments when both anxiety and openness to change are greatest. LivingstonOs focus on narcissistic vulnerability and its power to transform in psychotherapy...