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Morbid blushing in the literature is usually considered a hysterical conversion symptom within the 'Befangenheitsneurose' ('embarrassment neurosis'): a displacement from below upward phallicizes the face and thereby unconscious exhibitionistic and punishment wishes are satisfied. It is also known that people given to this kind of blushing are therapeutically difficult of access, narcissistic, and self-contained, frequently with ideas bordering on the paranoid.
As against hitherto prevailing conceptions, I am of the opinion that in the symptom of morbid blushing a three-layer structure may be established: