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This paper is a study of a case of maladie des tics or Gilles de la Tourette's disease in an eleven-year-old boy of the Froehlich type. In addition to his constitutional or neurophysiological inferiority, the boy was burdened with intense emotional strain in his family environment. His mother compensated for her original aversion against him with overprotectiveness. When the boy was three months old his father became physically incapacitated, and the patient had to share a bed with an eight-year-older brother whom he admired and envied intensely. His symptoms—involuntary tics, echolalia, echokinesia and uncontrollable inarticulate expressions of dysfunction of the system of expressional motility—developed at the age of seven. Mental coprolalia reflected the patient's conflict between sadistic impulses and their repression. Thirty months of intensive psychotherapy have ameliorated the patient's condition without fundamentally changing it. The authors assume that the organic basis of this 'incontinence of emotions' makes the condition only partly accessible to psychotherapy. They think there is a possibility that the tics are epileptic equivalents.