A housewife of thirty-two with a history of three previous attacks of ulcerative colitis has been followed psychiatrically during nearly five years. Deep unconscious hostile trends and suicidal drives were revealed. She was given nine months of intensive psychotherapy, three of them in the form of free association. She became able to emancipate herself from her family and to reëstablish her own home. During the time of transition hay fever and asthma appeared for the first time. In accordance with the findings of Alexander the author's patient broke down where genital giving was required. It was also found that a similar confusion existed between child and fæces which existed in one of Alexander's cases. The diarrhoea often represents not only a compensation for dependence but also a rejection of feminine passive desires by active giving. There must be some fundamental difference beteen spastic and ulcerative colitis. One important difference is that the ulcerative colitis patients seem to have a more narcissistic character organization.