I propose that affects, that is, psychophysiological structures that,
from the beginning of life, regulate infant/mother interactions and re
present a phylogenetically recent survival system for highly dependent
infant mammals, constitute the ''building blocks'' of drives. From th
is perspective, libido and aggression, the dual drive structure propos
ed by Freud, would constitute respectively, the hierarchically supraor
dinate integration of corresponding pleasurable or rewarding, and pain
ful or aversive affects. Sexual excitement, in this view, is the core
affect of libido, and rage, the core affect of aggression. Hate is a d
erivative of rage, reflecting the chronic, stable, characterologically
anchored psychic structuring of an internalized object relation betwe
en an aggressive, punishing object and a frightened, mistreated, and e
nraged self. The psychopathology of aggression is characterized by a p
redominance of hate as part of the drive structure (the motivational s
ystem) of the individual. The motivational contents of hate include, a
t progressive levels of severity, the wish to control the object, to m
ake it suffer, and to destroy it. Intense dependency on the hated obje
ct, repetitive efforts to externalize this intrapsychic system and to
escape from the internal persecution derived from hate characterize th
e transferences controlled by this affect. Clinical transferences cont
rolled by hate include psychopathic and paranoid transferences, the sy
ndrome of ''arrogance''; severely self-mutilating and chronic parasuic
idal behavior; severe sadomasochistic transferences, and the developme
nt of ''perversity'' in the transference, that is, the recruitment of
love at the service of aggression. An essential condition of the treat
ment of patients dominated by hate is to provide a firm frame to the t
reatment, a frame that sets strict limits to the acting out of destruc
tive and self-destructive behavior, while the therapist simultaneously
analyzes the effects of this limit setting in the transference, and t
he corresponding activation of hate dominated internalized object rela
tions in the transference relationship. The alternative identification
by the patient with the perpetrator and victim of aggression in the i
nteraction with the therapist facilitates the clarification of hate do
minated internalized object relations, and their gradual elaboration i
n the transference. It is essential that, as part of this development,
the patient learns to accept and even to ''enjoy'' the hateful aspect
s of his self, as a preliminary development before the eventual integr
ation of hate with the typically split of positive internalized relati
onships in which a loving dependency is aspired. Such an integration t
ransforms paranoid into depressive types of transferences, and signals
the beginning of improvement.