We begin with an understanding of the 4th wall as it refers to the actor's stage - the removal from reality, immersion in metaphor, and the illusion of not being witnessed. Isaac describes how this informs his sense of the analytic frame which he sees as a "choreography between the internal and external worlds." We discuss the challenge of engaging patients when the dyad together faces external dangers. These moments provide an opportunity for "connectivity" to be followed by a return to metaphor.

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