This paper proposes a semiotic model of the relation between soma and psyche. It argues that communication between these levels should be understood not as the transmission of information between homogeneous systems, but as vertical communication between heterogeneous levels of organization, requiring translation. Drawing on Peircean semiotics, affective neuroscience, Kleinian theory, Aulagnier's concept of the pictogram, and Bucci's multiple code theory, the paper identifies innate emotional patterns as the hinge between somatic and psychic registers and conceptualizes them as Peircean interpretants. It distinguishes this hinge, where the same process can be described in both registers, from the subsequent chain of psychic semiosis through which an affective sign may become an icon and ultimately a symbol. On this basis, three possible fates of the somatic sign are proposed: excessive quantitative activation, symbolic conversion based on a distorted interpretation of reality, and failure of semiotic conversion before an iconic representation is formed. The latter is proposed as characteristic of psychosomatic pathology. A clinical illustration of infertility and projective counteridentification is used to examine the iconic level and its transformation into symbolic thought within the analytic relationship. The paper concludes by identifying empirical directions for testing the proposed model.