Is metapsychology out-or in again? Is it a millstone tied around our necks-or is it an intriguing Freudian witch whom we can even dance with? Is the concept of drives an outmoded oddity-or an indispensable companion, inspiring our understanding of the patient's material and even opening new windows for further development? Can we proceed with the concept of structures and object relationships alone -or do we need the concept of drives in order to understand what these object relationships are all about? The author clearly opts for the second option in each of these pairs of alternatives. Musing on the sophisticated metapsychology debate that unsettled psychoanalysis in the United States for many years, she reviews some of the most frequently quoted objections to the concept of drives. Further, she offers an introduction to modern drive theory with the new duality of sexual and preservative drives, as well as a different concept of aggression, and explains how drives relate to structures-specifically, to the representations of self and object.

This paper offers a new theoretical and clinical look at the death drive in connection with the preservative drive. The author elaborates the flaws she sees in Freud's Beyond the Pleasure Principle (1920) and reformulates the transition between Freud's first drive theory and his second one within an implicit object relations theory. Simultaneously with this revised version of drive theory, a structural theory for the realm of healthy self- and object preservation and for pathological or deadened self and object parts is developed, including the devastating effects of trauma. Clinical material from an extended psychoanalysis shows how these concepts can help us understand these patients' absence and "deadness" and rethink the technical challenges they provide.

The Greek myth of Kore/Persephone captures a particular psychopathology of women who are torn between a deadened and often asexual husband (Hades) and an ongoing close relationship with a caretaking mother (Demeter). Psychoanalytic work often reveals that these women live in the shadow of their mothers' failed oedipal complex. Their identificatory preoccupation with maternal object preservation disrupted or distorted their oedipal development, and ever since continues to serve as a defense against sexual strivings. Thus, these women are trapped in a Kore complex: as maiden caretakers, they remain attached to and torn between a "grain mother" and a grandfather transference object.

The author rethinks Sophocles' dramas Oedipus the King and Oedipus at Colonus with a special focus on how self- and object-preservative drives are expressed in the protagonist's thoughts, feelings, and actions. What endangered Oedipus' survival at the beginning of his life-the planned infanticide-becomes the disease that later befalls his kingdom and finally culminates in his self-mutilation, which entitles the blinded Oedipus to be cared for by Antigone until he dies. The concept of the lethic phallus demonstrates how trauma and the resultant failure in structuring the lethic energies of the preservative and death drives can result in a specific pathology in which disease is used as a trophy and a means to bind the object in an ongoing caretaker relationship.

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