Little by little the whole story came out. They had kept up their acquaintance after the school days were long gone. Three times he had asked her to marry him, but each time she had refused, because although she "liked" him she was not at all sure that she "loved" him. At last she had decided that the next time he proposed she would accept. But he had not proposed again. And shortly before she became ill she had heard that he was paying attentions to another young lady. "I take it," interposed Doctor Brill, "that he is not so well off as he might be, and that this had something to do with your refusing to marry him." "What makes you say that?" "In your dream I note that you state: 'Every time I made a move there was a wall in the way; it looked like a street full of walls.' A street full of walls might easily signify Wall Street--hence money. That has been the real obstacle, has it not?" She confessed that he was right. He then explained that the one great cause of her ills was her insistent, if subconscious, brooding over the disappointment she had experienced, and that her cure depended upon her ability to overcome this mental attitude. Realizing for the first time, as a result of the dream analysis, that she was really in love with the man she had three times declined to wed, she soon solved the problem. Only a hint was needed to transform him into a suitor once more, and within a very few months they were happily married.[41] [41] Doctor Brill has reported and discussed this case in his recently published "Psychoanalysis," pp. 48-54. Sometimes direct questioning is sufficient to enable the physician to get at the underlying mental cause of trouble. Take, for example, another case successfully treated by Doctor Donley. The patient was a woman of thirty-five who was troubled by a constant and involuntary hacking, which sounded as though she were trying to clear her throat. Drugs, local applications, and electricity had been tried at intervals during more than four years, but to no purpose. On inquiry, it was found that the trouble had set in about five years before, when the patient, who was a mill hand, had suffered from a sore throat. The physician whom she then consulted told her that she had a bad case of tonsilitis, and that her tonsils would have to be burned out. Greatly frightened, she had hurried home, refusing to submit to the operation. In a few days the tonsilar symptoms disappeared, and she returned to work. But she was attacked a second time three weeks later, and visited another doctor, to be informed that her tonsils were so badly diseased that it would be well to have them removed by cutting.