Roth reviews the literature on the etiology of narcolepsy. Some authors think it an organic disease, others a neurotic reaction, and still others a combination

of both. Unfortunately Roth does not quote any detailed psychoanalytic studies on this problem. In the case report he describes the results of psychological testing, physical examination, blood count, x-rays, and electroencephalogram. The EEG revealed paroxysmal discharges of the grand mal and petit mal type. The physical findings were otherwise negative. The patient's history revealed that she had many emotional conflicts. Roth then concludes that in this patient the narcolepsy may be attributed to the emotional conflicts. It would have been interesting to see what details psychoanalytic investigation would have revealed in this patient's psychological structure.