Body image is cathected as it is derived from the narcissistic union with the mother's body. The change in body at puberty leads to a feeling of loss and aloneness. The adolescent uses his or her body in the analytic relationship and experiences analytic distance as rejection. Two cases illustrate these points: a borderline adolescent is compared to a narcissistically disordered adolescent in their mode of functioning as they experience adolescence. The borderline child reacts with rage to the loss of the gratifying object, while the other child reacts to the loss by submitting to superego demands as a substitute satisfaction.