Nietzsche says that the will to nothingness eventually turns against itself and becomes creative and revalues all values to survive death. It is through writing as the patient and the physician, as the analyst and the analysand at the same time that Nietzsche is able to turn resentment, bad conscience, fear, and guilt against themselves and produce desire as affirmation of the world as it is after a conflict that is interior as much as it is exterior to the self. This conflict is the crack up that happens to the body of the organism. It is neither interior nor exterior, but a “surface event.”