Rheumatoid arthritis is connected with a typical body-image, character
ized by hardened and tightened psychic barriers, a so called high ''ba
rrier-score''. This oral mode of body-image uses projective identifica
tion as its main defensive action. The case material of an eight years
psychoanalysis with a rheumatoid patient shall illustrate the develop
ment and changes of the body-image in the course of the analysis.