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THE APPEARANCE OF SUBLIMATORY ACTIVITIES IN ANALYTIC PATIENTS is often thought to signal recovery from emotional illness. Anna O. suffered from a "hysterical psychosis," present at age 21, which was marked by paraphasia, diplopia, contractures, and paralyses of the extremities and neck, and a mood of anxiety and depression alternating with a state of altered consciousness in which she hallucinated, was paranoid, abusive, and destructive. These symptoms showed marked fluctuations during the course of the illness, which was still active at the age of 28, 5 years after the termination of her treatment by Professor Breuer in 1882. Within the succeeding 3 years a marked change in her must have taken place because at that time, in 1890, a book of fairy tales written by her was published. These