DISCUSSION: Raising the question of choice of perversion in this case, Dr. Marvin Nierenberg suggested that a disturbed mother-infant relationship which weakened the ego and intensified separation anxiety might contribute to other perversions as well. Dr. Shelley Orgel focused on the patient's stimulus hunger and felt that the visual search was, in fact, related to trauma in the nine-to-fifteen-month period, rather than specifically related to the nursing situation, as Dr. Almansi had suggested. He expressed interest in the nature of the analytic dialogue and transference relationships in a patient whose communication problems were rooted in such early disturbance. Both Dr. Henry Rosner and Dr. Robert Dickes raised the question of the ubiquitousness of separation anxiety and the unusual nature of this patient's symptomatology. The role of superego deficits in voyeurism, expressing the need for omnipotence, was stressed by Dr. Alan Eisnitz. Dr. Roy Lilleskov documented some of the pertinent features of the mother-child interaction with reference to nursery observations and videotape studies.