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Of particular interest in this paper is the unusual case material. The seizures described occurred only when the patient was asleep, a circumstance usually associated with organic etiology. The author makes use of the case to discuss the changes in the concept of conversion reaction which have been presented in the psychiatric literature since Freud's original formulations. Material from the literature and conclusions drawn from the case material include the following ideas. 1) Conversion reactions are not confined to "hysterical" individuals who exhibit characteristic symptomatic and personality manifestations derived parimarily from oedipal fixations. 2) No single pattern of personality traits is to be found in patients with conversion symptoms. 3) Such phenomena occur throughout the entire range of psychopathology, including conditions in which pregenital factors are primary. 4) Emphasis is currently often placed on the communicative aspect of conversion reactions. In the case described, the patient was able to frighten, infuriate, and control people in his life by remaining quiet and passive during the day and throwing temper tantrums at night—a means of communicating his rage. Since the patient was not analyzed, the usefulness of the case presentation is limited.