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The subjects in question, that is to say, people who have, for example, beaten someone to death or died of anorexia, testify to early problems relating to preliminary relations with the mother. A « recourse to the act » or confrontation with a certain experience of « obliteration ” do not, however, rule out an otherwise perfectly adapted lifestyle thanks to psychic « splitting. » Therapy remains a delicate issue requiring a consideration of the most basic psychic processes.