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The paper traces the effects of early over-stimulation—leading as it does to precocious erotization and rage. Together, these combine in a manic defence by denying deadness in inner psychic reality. The rage being such as the ego cannot cope with, reappears in the recurrent fugitive dream.
The paper shows how the patient is most threatened in his dreams where he repeatedly protects himself from death by castration; where death means death of inner psychic reality.