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In the course of the last few years I have treated some patients who have prompted me to reflect on the origin of the organization of perversion. In the psychoanalytic literature on the subject, many interesting attempts have been made to draw distinctions between the various forms of perversion (see for example Pasche (1983) and the important and well-documented work by Socarides (1988)), in order to define and clarify what the field of study is. However, since I am only going to discuss a limited number of cases in this paper, I do not intend to distinguish between the various forms of perversion, their phenomenology and origins, nor will. I won't consider homosexuality, for that would need to be dealt with separately. I will focus my attention on the factors that can lead to the development of a perverse organization of the personality and also on some aspects of the perverse individuals relationship with himself, with his object and with reality as a whole. My main interest is in highlighting the features these patients have in common and in trying to gain a greater understanding of these paradoxical structures.