Tony suddenly remembers and comes to grips with the fact that he was sexually abused by Janice as a child and that Livia knew about it and did nothing. It also hints that Janice may have lost custody of her now adult son, Harpo, for similar reasons. Dr. Melfi assures him that this is the breakthrough they've been waiting for and that he's broken the family "curse" because he was able to give his children love where Janice and Livia couldn't.