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In summarizing, the following factors contributed to Tommy's illness:
1His unsatisfactory relationship with his mother during his first years: her emotional restraint toward him; the frustration to which he was exposed through her care of his cousin from the age of five months up to a year and a half; and his two separations up to his fourth year—particularly his first at the age of two and a half, when, besides being separated from his mother, he was again exposed to a situation similar to his earlier experience with his cousin in which his jealousy was aroused.