November 18, 1897
IX., Berggasse 19

Dear Wilhelm,

Mela's tumor is on the right side; Fleischmann, I hear, believes that it can be removed vaginally.

This morning I had a pleasant feeling, as if I had succeeded in something important. But I don't know what it might be. It was in some way connected with the idea that one would have to begin the analysis of hysteria by uncovering the actual, operative motives for accepting the illness, some of which I do know. (For the illness becomes established only when the aberrant libido, having allied itself with such motives, has found, as it were, actual deployment.)