This paper raises possible links to be built up between autistic states and psychic pain, both conceptually and along treatment, through the clinical illustration of a three-year-old autistic child in analysis, which also implies containing emotional suffering in contact with his care network. Through analytic practice with autistic difficulties in experiencing a psychic mode of functioning, efforts are shown to establish emotional contact based on minimal signs of communication, including small hints of discomfort (proto-psychic processes including movements towards emerging psychic pain), potential rudiments for bonds, body awareness and self-other discrimination. As an area in which essential aspects of human condition have been challenged, psychoanalytic work with autistic functioning allows for discussing clinical and conceptual tools for accessing primitive states of mind also within non-autistic patients and in approaching areas of primitive functioning within ourselves. Curiously, however, it still remains a “black hole” for many areas of our own psychoanalytic community. It is, therefore, the aim of this paper to reflect upon building up links between patient and analyst, vulnerable parents and children, internal and external moves, bodily and psychic processes and between different types of clinical work which we, as psychoanalysts in continuous (trans)formation are challenged with.