This is a report chiefly from the clinical angle of the changes in the type of reaction of a patient who just before analysis had an acute psychotic episode of an undoubted schizophrenic type, with panic, perplexity and persecutory delusions, followed by mutism and catatonic posturing. During the treatment a series of strains precipitated a further episode of acute illness, in which anxiety led up to a hypomanic swing, followed by panic and confusion; but in this case she had insight into her tendency to delusion formation.

After a further eighteen months of analysis, during which her unconscious homosexuality was worked over, a third episode of illness was precipitated by her husband's sudden decision to leave her. The onset was similar to the previous pattern, but this time there was no semblance of delusion formation. The analysis has gone on, and she has continued to improve both in analytic insight and in her adjustment to life.