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Abraham here relates his experience of analysis in elderly patients. Although the prognosis in general is much less favourable after the age
of fifty he finds that some cases react excellently and discusses the meaning of the fact. It turned out that the favourable cases were those in which the neurosis had become manifest in adult years after a normal life had been lived for some time, whereas the results were poor with those patients who had suffered from childhood on. His conclusions may be summed up in his apophthegm that from the point of view of prognosis the age of the neurosis is more important than the age of the neurotic.