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This paper purports to be 'an essay on the presentation of clinical material'. It consists of several general comments on vertigo, a very sketchy history of a neurotic man of forty-five who had recently acquired Ménière's syndrome, and a number of deductive statements that describe the patient's character and demonstrate the psychodynamics of the attacks of vertigo. These statements are as follows: 1. Certain psychological conditions made it possible for the attacks of vertigo to occur. (What the conditions were is not clear.) 2. There were strong counterphobic defenses against locomotor anxiety. 3. The patient's compulsive masturbation was related to his interest in motion. 4. The neurosis was a passive defense against sadistic wishes, with fantasies of oral incorporation and expulsion of the bad internal mother. There were also defenses against passive dependent oral wishes for union with the breast. 5. The attacks of vertigo gave vent to repressed aggression against the internal mother by a 'black-out' of rage.
Specific attention is directed only to primitive orality, although the author