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The reader is presented with case material illustrating the underlying oral elements in a patient prone to acting out. The author does not suggest that oral impulses and acting out are identical. It is the similarity in the quality of activity and behaviour of both which establishes the relationship. The 'no waiting' aspect of both sets of phenomena shows that they are an aspect of an early phase of mental development when oral activity is predominant and the ego has not yet developed the capacity for delay.