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If thinking is an “act of the flesh”, as the author asserts, how can we refine our understanding of the vicissitudes of the “mysterious leap from the mind to the body”? Furthermore, how does Freudian metapsychology still help us today in our encounters with patients? Contemporary clinical practice is sometimes bewildering: acts, violence, pain, and somatization often replace neurotic conflicts and speech. The clinical stories related here have the aim of showing that a psychoanalysis rooted in the Freudian corpus is still alive and can continue to offer creative responses today.