A patient with many psychotic trends but without a manifest psychosis was in psychoanalytic treatment 'by a reputable psychoanalyst, a member of the New York Psychoanalytic Society'. He later committed homicide and developed in prison a distinct acute psychosis. The author is of the opinion that the schizoid character of the patient should have been a contraindication to psychoanalysis. 'The writer believes that the psychoanalysis may have aggravated the patient's condition and led to the state of tension preceding the homicide.'

It is very regrettable that the analyst, who adds a 'critical comment', does not give his name. He is of the opinion that the whole character and the transference of the patient made analysis seem to be the treatment of choice. 'The fundamental problem of the patient was a profound passive homosexuality and a profound feeling of rejection by his mother.' It was 'a combination of untoward circumstances' which led to the unfortunate outcome.