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Out of clinical experience with a compulsion neurotic patient Kulovesi draws the conclusion that the movement of nodding, expressing affirmation is a
derivative of movements having the intention of incorporation, especially of drinking. Shaking the head as expression of negation is a derivative of the movement of 'a child who refuses to take offered food into its mouth'. It is interesting to note that a paper published sixteen years ago in the Internationale Zeitschrift für Psychoanalyse offered a similar hypothesis.1