The sensual experiences, fantasies and enactments that occur in the course of normal development are seen as psychic organizers which contribute vitally to the structuralization of the representational world. In the sexual perversions which occur in structurally deficient, developmentally arrested individuals, this function of early psychosexual experiences has been retained and is regressively relied upon in order to restore or sustain the cohesion and stability of crumbling, fragmenting or distintegrating self and object representations. Analytic exploration of the details of perverse fantasies and acts, their origins and functions, reveals the particular ways in which they compensate for specific structural weaknesses in patients' representational worlds. Some clinical illustrations and therapeutic implications of these formulations are briefly presented.