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The meetings with Ananké are resumed several years later to try to understand the speed of clinical evolution and psychosomatic disorganization including a resumption of a discreet asthma in the history of the subject became brutally severe during clinical work. The process of disorganization is questioned with regard to the circulation of excitations in transferential dynamics. Clinical evolution questions the possibility of recognizing an object, investing it, finally separating itself as a possible process of reorganization.