Based on Freud's remark that a neurosis can not be slain in absentia, the thesis is established that presence moments constitute the central points in the analytic process. The interpenetrative dynamics between analyst and analysand creates an analytical field, in which a pre-conception is formed. This pre-conception meets the self-revealing psychic world of the patient. This realization is a moment of presence (O) and the analytic third is determined. In this moment, the presence of psychic reality is irrefutable present and can be called by name. The name, which is seen as a presentational symbol, is a creation of the analytic couple, but has its source in the genetic roots of the patient. The presentational arises from the presence, which can then become the representation. F is central in this process and is part of the analytic couple. Based on detailed case material of a narcissistic disorder it is shown that a dynamic that impresses at first narcissistic, can be understood from a different point of view as a struggle for the analytical attitude and belief (F).