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TesseracT – April Lyrics 11 years ago
I think that "she" is his soul and the song is about ... some sort of a drug or love eventually.
Here is what I see in the lyrics as meaning (maybe):

"A deep engrained lust for possession" - sort of how strongly he is addicted to a drug in the process of abusing with it.
"I need to watch her abused till I'm satisfied" - obviously he is trying to kill himself or destruct his soul through drug abuse. And the reason there could be a love that left him, which is why he is also sad and angry.
"You mean nothing, nothing. No you mean nothing to me." - drugs mean nothing to him, its just the reason why he does it.
"Makes me feel sick to know she's had enough." - he doesn't want to satisfy his drug addiction, but moreover finish himself off with drugs. Very sad, isn't it?
"I hope you know, I live tonight through methadone highs." - I think that's where he reveals what's he talking about.

But the song is definitely not about drugs, but the reason why we use them - to ease some sort of pain or weakness we cannot bear.
Well, It's just a point of view, maybe the artist didn't mean nothing special after all ...

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