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This article describes a type of anorexia that embodies in the eating disorder an attempt to control death anxiety of the symptomatic patient on behalf of her entire family. This death anxiety is rooted in the family history of trauma and a certain type of incestuous phantasy. A description of a family treatment demonstrates how presence and absence, and the inability to put primitive anxieties into words is dealt with through the analysis of the co-therapist's countertransference.