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The author examines the autistic and timeless elements coexisting in symbiosis. He believes that symbiosis represents a narcissistic object relationship. It is related to the double phenomenon of projection and introjection, at times even a dissociation of both, and creates a projected role in the outside object, especially when there has been a pathological identification. Symbiosis is 'silent' and therefore appears in clear form as a symptom precisely when it no longer works. It aims at rigid control of an object in order to evade any rupture of the narcissistic relationship or a need to reintroject in a more normal way. The symbiotic relationship is a condensation of many complex and contradictory feelings and fantasies which are handled indiscriminately; when the intensity becomes unbearable, there is a sudden return of the repressed. Hence, it frequently produces an acute phobic state, fainting, fragmentation of the ego, distortion of body ego, or the phantom of the double. Hostility is turned inward, and there are feelings of depression, fear of looking into the mirror, and a sensation of disintegration. During treatment the main difficulties are related to creating nuclei of insights which the patient handles by isolation. When the patient is able to gain some insight, it appears in an explosive and thus dangerous manner. The therapist is then faced with personality disaster, lack of identity, distortions of body image, confusion between male and female roles, and a deficit of verbal communication with an increase in preverbal material.