“Another patient, Janet, was repeatedly abused by a grandfather who forced her cousin to sexually molest her and put sticks into her vagina. The patient dissociated at the time into a child alter personality, Susie, who remembered the abuse. Susie decided if she had no body, her cousin would not hurt her. Susie imagined she had no body but only her head. The fantasy she had no body to hurt, led to a dissociation of all perceptions of her body and the belief that she avoided pain and her cousin could not hurt her. This mechanism shows the interplay of reality and fantasy in a dissociative defense. Through fantasy, Susie has no body and no pain. Simultaneously, the reality of her torture was recognized as the source of this adaptation. Dissociative defenses adopted her wishful fantasy to solve a brutal experience and its memory.”