The authors describe a type of psychosomatic patient, distinguished by a deficiency of fantasy and dream life as well as a diminished capacity for identification in object relations. The patients' reality relations which, according to the authors, are at times also produced under the adaptational pressures of occupations, appear concretistic and technicist. This style of thought and conduct differs from the compulsive character. Because of its anti-introspective, conventional traits, it is reminiscent of the authoritarian personality, especially the so-called manipulative type.