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The paper discusses in the light of clinical material the nature and implications of the concept formulated by the author of an 'organpsychosis'. The primary disturbance in the ego accompanying psychosis involves a loss of the external world. In so far as the body constitutes a part of the 'external world', organic disturbances may follow as a secondary consequence of the ego-disorder; but since the body likewise belongs to and contains the ego, they may also represent primary manifestations