The patient came to analysis for other neurotic symptoms, and it was found during the analysis that the acne was psychogenically determined. The acne first appeared at eighteen when she was jilted. The patient devoted much time and money to attempting to cure it and finally hit upon the idea that sexual intercourse might cure it. There followed a period of great promiscuity in which she was always the aggressive one and was frigid. This behaviour represented the feeling 'I must have a man' and was a flight from homosexual tendencies. Guilt was handled by feeling that she was treating her acne. There was strong hatred of her mother and attachment to and identification with her father in sadistic beating phantasies. Her mother was always making her feel that her face and genitalia were dirty. Squeezing pimples was connected with squeezing penises. Thus dirt, genitals, face and disease became connected. In periods of positive transference the skin would break out, and in periods of hostility the face was practically clear. Cure persists nineteen months after the end of the analysis.