This paper deals with the remarkable improvement of a paranoid male patient who had for twelve years been an inmate of a State Hospital. He had to be tube-fed during the twelve years and was a passive, dependent, withdrawn, and in all probability, latent homosexual individual, in whom severe mental changes were not evident until at the age of forty-four 'he gave himself up entirely to God' and became hospitalized. The 'Horney analytic approach' was started when the patient had attained the age of sixty, and through lasting intensive sympathetic and understanding contact, a clinical cure was obtained.

The question as to whether this case of paranoid psychosis with twelve years hospitalization and complete absence of hallucinations still can be called 'schizophrenia' (under which diagnosis it is presented) is not discussed. Freud's