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I am reporting three cases of gastric disturbance which I have had under my observation this last year, and one case which has been under the care of Wilson. In all of these cases the typical conflict-solution which Alexander has already described is seen.
Mr. K was referred to us because of epigastric distress, flatulence and belching for which no physical explanation could be found. He had had this distress for several years. He also had a nervous cough and vague nervous disturbances such as mild attacks of dizziness on standing up.
He is a successful Jewish business man of about forty, externally very masculine, active and sure of himself, giving the impression of being likable and trustworthy. He is the second of four children, all of whom were brought up very strictly. As a child he had to work hard and rarely had time to play. Every afternoon after school he had to go to Hebrew school even as a small child, and he never got home for his dinner until eight or eight thirty and rarely got to bed before ten. He did brilliantly in his school work, skipping several grades, but at fourteen had to leave school to work because of his family's financial circumstances. He was devoted to his mother, but complained that she had never had time to give him affection and knew nothing about diet, probably an unconscious reproach against her for her orally depriving him. His father he loved and feared more than God, even though he was a strict disciplinarian and beat the patient for minor infractions of disciplinary rules, especially for even a slight show of disrespect at Hebrew school. He said his father could not help him much because he was foreign born and ignorant of American customs. The patient was docile and was almost