Scott outlines the psychopathology of two patients who suffered from manic-depressive states, disclosed during their analyses. Both patients, at a certain point in their treatments, exhibited convulsive states but not to the point of losing consciousness. In both, the convulsions occurred when their rage toward an introjected mother-breast was in danger of invading a libidinal object attachment toward the analyst. The convulsion was an attempt to prevent an attack on the external loved object and to concentrate hatred on the internalized object. In addition, in one of the patients there was an effort, during the moments preceding the convulsion, to externalize the hated object but this was impossible because of the complete identification of the patient's own body with the hated object. Thus, in the patients analyzed by Scott, the epileptic states and the manic-depressive illness were both based on severe, very early, oral conflicts.