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Because of the weakness of ego of these patients, it is useless to offer them repeated interpretation of their masochistic tendencies; to do so, moreover, causes the patient to increase his aloofness from the analytic process. Such a patient 'lives on and for his superego rather than on his ego'. Extreme deprivations in the early relations to parents cause these patients to avoid genuine object relationships. The author agrees with Ferenczi's recommendation that the analyst acknowledge that he finds the patient's behavior unpleasant, but recognizes that there must be some adequate basis for that behavior. This admission of fears and 'objective hate' carries certain hazards but strengthens the patient's ego. Such patients, with their almost 'psychotic insight', are aware of the analyst's unconscious loves and hates and are therefore dealing not merely with projections but also with reality, which should be admitted frankly. In this fashion one may overcome the utter aloofness which such patients maintain, and one may ultimately transform the unconscious sense of guilt into a conscious one: the environment has been made a safe one in which the patient can feel freer to communicate and to identify himself with the analyst.