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DISCUSSION: Dr. Phyllis Greenacre felt that Mr. V.'s periodic indulgence in ventriloquism was important in maintaining a reasonable equilibrium in other aspects of his life. She saw his depressive reaction after his wife gave birth as indicating that Mr. V. had active fantasies of being omnipotent and relied on the dummy to help him experience ultimate power. His inability to experience himself as an intact man was due to his difficulty in avoiding engulfment by his sick mother. His psychic development was interfered with by the primary