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Freud states that the system of conscious experience has perception and motility as its basis and that access to motility is through consciousness. Consciousness and motility are the nucleus of the ego in the psychoanalytic sense. Psychoanalysis has given attention to the more complicated functions of the ego and has neglected the study of primitive motor function in connection with problems of the ego. The work of Jelliffe and Stengel is an exception to this general neglect of organic motor functions. The general psychoanalytic literature as, for instance, the recent papers of Federn, Bergler, and Goldman, does not sufficiently emphasize the relationship of motor problems to obsessions and compulsions. The more general discussions of Nunberg and Fenichel mention Freud's fundamental description of the defense reactions in obsessional neurosis—isolation and undoing—but do not stress the motor elements in the psychology of obsessional neurotics. According to Schilder, about one-third of the obsessive and compulsive patients show organic signs pointing to pathology with the same localization as that found in encephalitis.1 For therapeutic purposes the full armamentarium of psychoanalytic technique must be used and the patient must be shown in every instance how the content of his experiences are the expression of defense mechanisms. It is necessary that the patient does not conceive of his motor drives as isolated phenomena but as a part of a total situation between him, his love objects of the past, and society.