A patient's syndrome was persistent headache, lasting five days at a time, which appeared whenever he went to meetings or social gatherings or went out with friends or danced. Sometimes he vomited, at others he had diarrhea with the headache. His upbringing in childhood had been strict; he was told 'not to cry, because he was a man' and received severe religious training. He was frightened of girls, he said, and of witnessing the castration of animals. Intellectual success became a sublimated expression of his guilt-ridden instinctual Oedipal impulses. 'In his moments of intense anxiety he fantasied mutilating himself or burning his lips following the example of the saints.' He had marked libidinization of thought and hence 'suffered a neurosis of isolation'. 'The anal-sadistic