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DISCUSSION: Dr. Victor Rosen questioned the interchangeable use of the terms 'stimulation' and 'excitation'. Stimulation without excitation is possible, as is excitation without stimulation. The ego may seek stimulation rather than excitation; the experience of pleasure may be associated with the discharge of excitation rather than sensory stimulation. Rosen believes that psychology and physiology were confused in this paper.
Dr. Milton Horowitz felt that the paper crossed over many levels of psychoanalytic discourse from clinical data to metapsychology and did not