Garbarino describes a male patient who for a time during his analysis appeared like an old lady. His physical aspect changed; he had a slow walk, wrinkles, and a sad expression, and he had all his teeth removed, not getting artificial dentures for a long time. The analysis of this symptom showed strong identification with his mother, intense homosexual fears, and a tormented ego masochistically submitting to a sadistic superego. The 'old lady' with the collapsing lips and protruding tongue also represented a baby who can still grow. By this mechanism his mother's death and his own death wishes were vigorously denied.