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Garma found that headache may have the following determinants: 1, unsatisfactory coitus; 2, symbolic equation of head and phallus; 3, persistent genital frustrations especially in intellectual persons; 4, homosexual tendencies; 5, symbolic equation of eye with anus or penis; 6, a wish to strike the head, the equivalent of striking the chest to do penance; and 7, infantile traumas,—the headache the somatic expression of a recurrent nightmare.