Against the background of psychotherapeutic work with a young self-harming woman, a theoretical argument concerning the body is developed. The body of the drives and of infantile sexuality is distinguished from the body of instinct and attachment. The origin of the drive is discussed in terms of Laplanche’s fundamental anthropological situation and linked to Jacques André’s thesis concerning a primary femininity and drive passivity in both sexes. Freud’s thinking on sexual difference and the repudiation of femininity is discussed from the perspective of the above-mentioned thinkers. Finally, a sexual perversion, acted out by the patient, is explored as a possible symptomatic/conflictual expression of drive passivity.