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After a review of the literature (Freud, Lacan, Kohut), Urtubey presents clinical material to illustrate her thesis. There is a 'lethal' aspect of the Greek myth of Narcissus that Urtubey feels has not been handled in the literature. When the patient denies the analyst's existence and feels that he is the only one in the analytic dyad, he shows the autistic transference elements of his narcissism. The mirror-analyst is therefore transformed into the patient's image on whom is projected the undesirable traits of the patient. This allows the patient to idealize himself, love himself, and indulge his omnipotent and destructive fantasies. The patient permits the analyst to be only an echo praising him and never confronting him with reality. Therefore, no synthesis occurs in his analysis. Successful therapy of these patients has to include the analysis of this splitting.