The author discusses certain types of patients who insist that all painful experiences they suffer have been brought about by their unconscious. These patients, who are deeply orally fixated, must re-enforce their infantile need for omnipotent control of the sustaining world by attributing such control to the analyst. They then participate as passive 'masochistic' recipients. The positive aspects of the control are achieved by fusion with the omnipotent image of the analyst while the negative elements are reserved for the self. Disruptive aggressive and libidinal transference impulses are denied. Thus a sustained elation is obtained by a magical fusion with an omnipotent love object. With susceptible patients, the analyst should avoid interpretations which create an iatrogenic elated state of transference cure. This is difficult since they may develop negative transference reactions to any interpretations other than those affirming their 'masochism'. A case report sustains the author's views.