Rosacea and morbid reddening as a continuum including certain forms of blushing are related psychodynamically through a series of five female patients studied in psychoanalysis and another series of fifteen subjects seen for shorter periods. In all of these cases the precipitating cause seemed to be the loss, either through death or by some other means, of a projectional object of paternal identification. All of these patients were seriously disturbed and revealed well-defined paranoiac trends of rarely less than prepsychotic degree. Five of the patients experienced the onset of their rosacea following injury to erotogenic zones, in actuality or symbolically. Regression to the oral sadistic stage was seen in many