Abstract
The aim of this clinical chapter is to illustrate some aspects of severe chronic depression: early trauma, embodied experience, fear of breakdown, and unconscious defences. I will propose four extensions of the Freudian model of melancholia that I believe to be grounded in clinical evidence and which may sustain our insight into the inner world of these patients. The close examination of psychoanalytic session dynamics remains our royal road to improving theoretical paradigms.
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