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How can psychoanalysis, whose principal tool is language, approach those that do not speak? The author proposes extending the domain of psychoanalysis to include this group. This clinical question has been neglected by psychoanalysts—their own narcissism wounded by patients for whom the absence of language is an obstacle to identification. This person, whose integrity is damaged, transmits an image in which, we fear, we may recognize ourselves. When communication by words is impossible, it takes places through the body, and through empathy. The author discusses theories that postulate that non-verbal mental phenomena exist, and that thought originates in primitive sensoriality.