[Desire and self-worth]

Correlation between the experience of pleasure and selfesteem of neurotic patients is examined, based on practical knowledge in the therapeutic area. The embittering of essential parts of later self- and identityfeeling by cultural discrimination of primary pleasure of oneself during the early childhood is shown by a clinical case. Primary selffeeling is degraded into guilt and fear and cannot be replaced by secundary satisfactions. Finally the ambiguous aspects of pleasure in psychoanalytic theory are deomonstated which recently have found a more obvious contour in the polarisation between narcissism and object relation. - The question about the essence of pleasure is left open.