The drawings of young children who are deeply emotionally troubled suggest that, at least for this group, the fear of falling apart is a common experience. Early in analysis one little girl began to portray what I imagined was an unspeakable fear by drawing dots that were chaotic and unconnected all over a page. There was something frantic about this dot-making activity that gradually became distressing pokes and jabs at the paper. Her actions seemed both violent and communicative to me. I did not have the feeling she was showing me something about her relationship to me, that she was attacking my body or my mind symbolically. Rather, I had the feeling she was evoking the atmosphere of what it might be like to be inside her skin. I wondered to myself if she might be making a picture of how she sees or feels or experiences herself existing in the world at this moment. When she finally paused, what I saw on the page on the little table where children draw in my office was a bit like a nightmare concretizing before my eyes. At the same time, on another level, the drawing reflected how great this little girl’s ability to dream while awake was and how successfully she could evoke aspects of what might be her inner intensity in my presence. I don’t remember what I said to her. She covered the dots over with fierce dark lines, saying strongly “I hate that picture” and tore it up.