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Clearly named in 1920 in the text Beyond the Pleasure Principle, the death drive gains great importance in Freud’s work, becoming an essential concept for approaching clinical practice. Working on its relevance in current forms of psychic suffering, recognizing how it imposed itself on Freud and in his work seems essential for anyone who wants to address current issues, especially today, when trends are emerging to understand the symptoms and their clinical manifestations only from the point of view of a deficit, or to reduce them to narcissistic pathologies only.