ABSTRACT

The concepts and theoretical revision we have introduced above and will be considering in greater detail below remain suspended in conceptual midair if they are not tied to and rooted in the concrete soil of clinical application. We need to focus our argument on specific clinical material, not only to facilitate communication and understanding of our perspective, but also to keep the development of our argument attuned to clinical realities. Any case presentation can neither demonstrate a metapsychological point, as in our concept of aggression as a biologically rooted psychic capacity aimed at helping the attainment of the goal of intended actions, nor prove the clinical accuracy of the formulation of the analytic process. We offer this case, nevertheless, as an illustration aimed at helping the reader understand in clinical terms the way in which we conceive theoretically the dynamics of one form of aggressive pathology and the organizing fantasy accompanying it.