This article looks at the dynamic between the life drive and the death drive, drawing on a psychoanalytic approach to the creative process that is centred on the processes of emergence and transformation of sensori-motor forms in clinical situations of creation. In therapeutic mediations, the emergence of forms stems from a reactualization of hallucinated sensations conveying the history of the primary relations to the object which are staged in the encounter with the pliable medium (matter and analyst) and “sexualize” the creative impulse. Far from dissociating the work of the life drives and the death drives, an analysis of the creative process based on the emergence of these primary forms of symbolization shows how a process of passive/active reversal or “turning round” makes it possible to give shape to agonistic experiences. The life drive/death drive couple appears to be at work in this shaping of archaic experiences which opens out onto the dynamic of the destroyed/created (Didier Anzieu).