Many find the concept of a superego not relevant anymore. Yet, there is much evidence for the cardinal relevance of what is meant with this theoretical construct. This is particularly true for the treatment of severely disturbed patients—especially those with severe forms of character perversion and addictions. The archaic superego serves in its absoluteness as primitive affect regulation. The more we assume a stance of authority, the more we tend to get enmeshed in very important regressive transference–countertransference enactments of these superego figures, functions, and affects. The working alliance breaks apart because the regression can merely be experienced, not reflected upon. This is particularly true for cases of character perversion, especially those of a severe sadomasochistic nature.