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A woman developed a severe facial acne and a severe psychotic regression after each of two pregnancies. During this time she injured her face by squeezing the pustules. Her symptoms are shown to have been motivated on all libidinal levels, with a turning against the self of the destructive impulses she felt against her mother and children. The receptive and excretory functions of the skin render it suitable for the expression of fantasies concerning the introjection and expulsion of objects, and their