The third output post (ground) is not connected to the actual power supply. It is there to give a convenient way to connect either the red (positive) or black (negative) output to "ground" (i.e., protective ground, the third wire on the line cord, and the chassis of the power supply).
You cannot use this supply to provide +43 and -43 V to your amplifier. You need a second power supply to get the negative rail.
There are slightly complex circuits ("rail splitters", q.v.) that can provide a "center tap" to your single 43 V power supply to get +21.5 and -21.5 V, if that suffices, but they require a power device to handle the difference in current (which may be small) between the loads on the + rail and - rail.