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The historical and psycho-analytic data from five and a half years of analytic work are presented to document the diagnosis and illustrate the psychopathology of a patient in order to demonstrate the metapsychological thesis of this paper. The patient, with a cyclothymic heritage in both parents, with a constitutionally intense and delicately balanced bisexuality, traumatized in the first three months of life by a painful, near-fatal illness, had dealt with the loss of the breast at weaning by a flight to the father which had a certain amount of reinforcement from the environment. This hypomanic state was based on the internal object relationships and defensive operations which are the central theme of this paper, that is, a denigration of the internal breast by an envious oral sadistic theft from it of a penis-like structure, felt as the core of its admired strength, creativity, and understanding, which was then projected onto the father's penis, thereby enhancing its admired
qualities to an exalted degree, making it the object of oral and genital greed.