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A twenty-two-year-old woman masturbated intermittently. She frequently had dreams on the night of the masturbation. During the early phase of the analysis these dreams gave broad hints of the nature of the repressed fantasies. They were predominantly concerned with homosexuality and pregenital longings. A recurring fantasy was of being important, having a child, and being equal with other women. Masturbation served a defensive function. 'It is safer to masturbate than to experience the anxieties that go with a heterosexual object relationship.'
During the second six months of analysis two sexual fantasies were released from repression: sucking at the breast (penis), and anal penetration by a figure representing sister and mother. From the twelfth to the seventeenth month, sadomasochistic fantasies appeared: beating and hurting the sister-mother; castrating the male-father; being overrun by the sister-mother; and showing herself as better than the sister-mother. The last phase of treatment brought out her bisexuality, fantasies of intercourse with herself, the wish for the father's penis and for impregnation by him, and the fantasy of having a penis and an orgasm like a man.