This article explores the nature of the schizoid process, in which withdrawal serves to protect the individual in the face of psychological collapse. Someone who uses schizoid defenses for survival fears living in relationship and splits off from both the external world of experiences and the inner self. Caught between external and internal conflicts, the person may withdraw into autistic encapsulation, a primitive method of protection, and life is endured in a state of isolation, ambivalence, and confusion. This article considers how the schizoid condition may manifest as dissociative and autistic states, and a fourth pattern of insecure attachment is introduced. Case vignettes are used to illustrate the phenomenological experiences of the schizoid’s unspoken and sequestered world and to identify how contact and the methods of inquiry, involvement, and attunement are used in an intensive therapeutic relationship.