Kreuzlingen, [8] November 1921

127B

Dear Professor Freud,

It is always a particular pleasure to set eyes on your handwriting and to hear your news.

Professor V. displayed anxiety and obsessional symptoms even in childhood, had pronounced delusional ideas in his student days, was never free from obsessional fears, obsessional acts, etc., from which his literary output, too, suffered severely. In 1918, this was the basis of a grave psychosis, no doubt triggered off by his approaching old age, the material, until then elaborated more or less neurotically, now being given psychotic expression. In addition, there was intense psychomotor excitation, which continues to be present, even though