The Clinical Exchange invites eminent clinicians of diverse persuasions to share, in ordinary language, their clinical formulations and treatment plans of the same psychotherapy patient-one not selected or nominated by those therapists-and then to discuss points of convergence and contention in their recommendations. This special Exchange focuses on family systems psychotherapy in the case of a family presenting with the identified patient being a 5-year-old who had cried every day for 3 years since the death of her father. Therapists Catherine Fuchs and Pam Fishel-Ingram (psychodynamic orientation with some integration of cognitive-behavioral therapy concepts), George S. Greenberg (brief systemic family therapy with a strategic therapy focus), Patricia Morse (Milan school of family systems therapy), and Scott Griffies (psychoanalytic object relations) are the featured commentators. Finally, Martin Drell, the case contributor, provides a few closing comments.