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Feeling the strangeness when encountering autistic children with a fragile body image may cause the therapist to lose sight of the way gendered identifications are constructed. This entails a risk of depriving oneself of a creative resource in transference with the child and its family. Based on clinical studies of long-term psychotherapies with young children, this article seeks to explore how devoting attention to original forms of gendered identification in autism may enhance therapeutic outcomes. This focus seeks to explore the sensory experiences the child is seeking and fosters mutual identifications between the child and its environment. It thus facilitates the elaboration of transference pains in the parent-child bond.