This case of an adult who as a child suffered maltreatment within three basically different types of relationships is offered as an opening to reconsider psychoanalytically the forms of maltreatment that have become standard over the last four decades in the field of “Child Abuse and Neglect” (CAN), that is, physical abuse, neglect, sexual abuse, and emotional abuse. It is suggested that the patient experienced her maltreaters as intending to eliminate her, to force her to play adult roles, and to erase her identity for narcissistic purposes. A nosology keyed to these types of intentions and relations, it is hypothesized, might make a better guide to clinical work with abuse victims generally than the standard classification of abuse and neglect types, and would also allow such clinical work to connect with social theory of prejudices.