Bécache presents two cases of anorgastic patients, both of whom unconsciously equated orgasm and madness. She compares this unconscious fantasy with the behavior of certain psychotic patients who are anorgastic in heterosexual relationships and rarely achieve orgasm in homosexual liaisons, but who readily achieve orgastic pleasure in masturbation. These psychotics have a fear of losing control of their aggression and of making the other person mad or destroying him. To achieve successful orgasm, they need as secure a guarantee as possible against destructive fantasies in themselves or others. At the moment of orgasm, such individuals fear self-fragmentation. The author sees evidence of this unconscious fantasy in the myth of Orpheus and Eurydice.