Dreams, fantasies, and therapeutic data of these patients suggest the simultaneous operation of the two opposite primitive impulses of aggression and passively wishing to be loved, both of which, along with their physiological correlates of fight and flight, are strongly repressed. One patient recovering from a serious infarction suffered no pain on climbing a series of stairs but suffered severe pain later the same day while lying down and waiting to be examined by a doctor he feared and hated.