This paper gains in significance by the fact that the authors, internists with a varied general practice, have referred patients to accredited psycho-analysts in New York City and now try to evaluate the results obtained by the psycho-analytic therapy. In a period of twelve years they have submitted thirty-three patients to a more or less complete analysis, and their study is based on this number of cases. In the completed cases the patient attended hourly visits from three to five times a week over a period of time extending from six to twenty-four months and usually averaging sixteen months.

The authors are not impressed with the theory often advanced by analysts that the patients who make no economic sacrifice are less co-operative than those who do make an economic sacrifice. The cases treated are classified in four groups:—