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This article attempts to show how projective methodology referring to Freudian metapsychology can be used to think about the clinical approach to incest, particularly the subject’s refusal to receive therapeutic help, despite associating with other victims. We proceeded by means of research interviews and a projective methodology with a patient who showed good capacities for expressing her experience of incest. After a review of the literature, we singled out indicators that enabled a better perception of the way of investing, or not investing, in an object relationship of quality. The inability of our patient to present a positive relationship with the Rorschach test was the main obstacle to forming a therapeutic alliance. For her, the proximity to another person was worrying and made her prefer associative engagements with victims of child abuse. This detour leads us to consider our countertransference so as to accompany these patients without becoming horrified and distant or simply lending a sympathetic ear that has no effect on the subjective appropriation of their trauma.