Article révisé par les pairs
Résumé : Two clinical cases are detailed between three clinical psychologists with a psychoanalytic training. The discussion is about the principles of psychoanalysis with a cancer patient. The tools of psychodynamic psychotherapy are usual: understanding the unconscious origins of the demand, waiting for the narration of the patient, allowing historisation, make subjectivation easier. But when the ego unity has never been done and when the identifications are fragile or ambivalent, when the psychical envelopes have never been containing, the psychotherapist needs to re-create an intersubjective therapeutic space. This intersubjective space will permit the narration held by the transferance. The transferance is like an immersion in the first language (listened by the patient as coming from his progressive unification or coming from the mirroring of the therapist).