When we consider that the sense of identity occurs based on object representations and also on relational modalities that are established throughout our development, and furthermore that thte responses reveal the quality of the libidinal investments received, we conclude: Marco experienced a family environment in the first few years of his life and developed a notion of himself that allows him to establish some exchanges with the environment, even though primitive defense mechanisms are present and the relationship model expressed involves little reciprociity and a good deal of aggressiveness personal identity, expressed by the probable experiences of affective deprivation in the first year of his life, his illness, the difficulties inherent in relationships, a greater rigidity of character structure, body concern, the expressed need for contact. According to Freud (1914) " A strong egoism is a protection against disease, but in the last resort we most begin to love in order that we may not fall ill, and must fall ill if, in consequence of frustration, we cannot love".