In this paper, awarded a Clinic Essay Prize in 1961, a patient is presented who used as an important resistance at crucial points in her analysis the feeling that material emerging into consciousness was not from her own psyche but was the result of suggestion by the analyst. Analysis of the resistance revealed that it both served to negate unacceptable drive representations emerging into consciousness and to gratify libidinal drives from all pregenital levels. The most important pregenital meaning of the charge was that it represented anal rape by the analyst and that her confirmatory responses were gifts of feces (baby) resulting from this act. Delusions of influence commonly found in paranoid patients appear to have a dynamic structure similar to the charge of suggestion in this patient and may be both a defense against the superego and a disguised gratification of the passive homosexual wish.