This omission of the patient's is so predetermined that it becomes neither accidental nor meaningless, indeed, not even unimportant, for, as we shall see, it throws light upon the relation of this patient to the physician. He is one of the great number of those who seek authority, who want to be dazzled, intimidated. Perhaps he had inquired by telephone as to what time he had best call, he had prepared himself to come on a crowd of suppliants somewhat like those in front of a branch milk station. He now enters an empty waiting room which is, moreover, most modestly furnished, and he is disappointed. He must demand reparation from the physician for the wasted respect that he had tendered him, and so he omits to close the door between the reception room and the office. By this, he means to say to the physician: "Oh, well, there is no one here anyway, and probably no one will come as long as I am here." He would also be quite unmannerly and supercilious during the consultation if his presumption were not at once restrained by a sharp reminder. You will find nothing in the analysis of this little symptomatic act which was not previously known to you. That is to say, it asserts that this act is not accidental, but has a motive, a meaning, a purpose, that it has its assignable connections psychologically, and that it serves as a small indication of a more important psychological process. But above all it implies that the process thus intimated is not known to the consciousness of the individual in whom it takes place, for none of the patients who left the two doors open would have admitted that they meant by this omission to show me their contempt. Some could probably recall a slight sense of disappointment at entering an empty waiting room, but the connection between this impression and the symptomatic act which followed--of these, his consciousness was surely not aware. Now let us place, side by side with this small analysis of a symptomatic act, an observation on a pathological case. I choose one which is fresh in my mind and which can also be described with relative brevity. A certain measure of minuteness of detail is unavoidable in any such account.