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Kreuzlingen, 23 February 1923
134B
Dear Professor Freud,
Many thanks for your letter and for the referral of Herr To. I was very glad that everything had been so well contrived on your side and that the patient was handed over expressly to me. On the second day of his stay here he produced a severe and doubtless psychogenic attack of asthma. When he realised, however, that he was impressing no one, he displayed no further acute symptoms of any severity. I have assigned a nurse to him; he is given oxygen baths, which have a favourable effect on his pulse, bromide, mild soporifics, etc., and is already getting used to a regular way of life, with walks, drives, etc. I get on well with him personally and he has caused us no real problems so far. The only thing I would still like to hear from you or his brother is what I am expected to do if he suddenly decides to leave. So far, it is true, there have been no indications of that, but it could well happen one day. It would be a good thing, perhaps, if I received official instructions from his brother (which I should only communicate to the patient in an emergency) not to let him go before I had notified you. It would thus be possible to gain time.
My psychiatric-clinical view of the case is that, apart from his inversion, he is a man with a hypomanic1 constitution who, on the