My exploration and clarification of death-related events and death anxiety as they pertain to psychotherapy patients has repeatedly touched on the ground rules of psychotherapy. To complete this discussion, I therefore turn now to a more focused exploration of the interaction between death-related issues and the framework of psychotherapy—the backbone, context, and most powerful influence on the patient’s therapeutic experience. The intricacies of the connections between rules, frames, and boundaries and death anxiety are one of the most unappreciated yet critical aspects of our subject.