The material presented in this segment covers the same time period of the analysis as the second panel, but from another perspective. This material focuses on the patient's (Renee's)utilization of relationships with others outside of the analytic relationship to create and sustain feelings of vitality and to stave off experiences of deadness, fragmentation, and nonbeing. The material reveals a growing recognition that her seeking fearful sexual and aggressive arousal states is designed to evoke in her a sense of aliveness. Nascent efforts to find new, less destructive ways of creating for herself experiences of vitality and self-value begin to emerge.