McLaughlin refers to Ruesch's three levels at which feeling is expressed and tension discharged: 1, organ responses in infants; 2, action level responses, combined with regression as in such manifestations as alcoholism, overeating, and sexual promiscuity; 3, symbolic expression in verbal, gestural or artistic avenues whose scope and volume make up somewhat for lowered tension-draining ability. Individuals with psychosomatic illness react as does the infant, with organ responses, circulatory and tension changes, and other primitive 'fight or flight' reactions. Such patients are chronically prepared for action which they never take.