Tarachow distinguishes two ways of neurotic interference with action, both leading to somatic symptoms. During total inhibition ('utter defeat') there is collapse of tension with corresponding physical phenomena, whereas partial inhibition results in anxiety accompanied by somatic overmobilization. Hemicrania,

thought to be a state of cerebral vasodilatation, is a psychosomatic disorder of the first type. This is exemplified by the occurrence of migraine at times of a sudden drop of tension.

A dream following an attack of migraine is reported. It presents, in a condensed way, the chief emotional conflicts of an inhibited, male analytic patient. Characteristically, his aggressions were borrowed from father images. The brief case report shows beautifully the elements of intellectual attack—'the mental castration turned against one's own head', e.g., the concept of migraine as introduced by Fromm-Reichmann.