This paper seeks to illustrate the ambiguity of the affect of 'anger'
which masks a number of subtly different emotions observable in clinic
al work. The author differentiates between anger, rage and hatred in t
erms of the dialectical relationship between ego and self and pays par
ticular attention to why it is that for some patients, experiences of
anger may be harnessed creatively into development, whereas for others
, they remain self destructive. Using illustrations from work with two
patients in analysis, the author describes how a persistent grievance
originating in the earliest stages of life is linked with hatred and
can lead to a defensive self structure. It is suggested that the clues
to the presence of a grievance and to its potential transformation ar
e likely to be observable first in the analyst's countertransference i
n the form of an all-embracing emotional strait jacket. Analysts' capa
city to tolerate their own hatred is crucial to the transformation of
a patient's grievance.