This narrative of my clinical encounter with a young girl and the vicissitudes of madness, psychotic states, being in health, etcetera, is not a ‘case-history’ in the accepted analytic sense of that word, in so far as it eschews the use of metapsychological concepts. I have chosen to present the ‘case history’ first, followed by my theoretical discussion, because I do not wish to pre-empt the reader’s freedom to experience and evaluate the clinical narrative.