heard, even if it lay on the table by the bed; and we all know that the regular ticking of a pendulum-clock never disturbs sleep, but is more likely to induce it. She also admits that her fear that the flower-pots and vases, if left in their places at night, might fall down of themselves and break is utterly improbable. For some other practices in her ritual this insistence upon silence as a motive is dropped; indeed, by ordaining that the door between her bedroom and that of her parents shall remain half-open (a condition which she ensures by placing various objects in the doorway) she seems, on the contrary, to open the way to sources of noise. The most important observances are concerned with the bed itself, however. The bolster at the head of the bed must not touch the back of the wooden bedstead. The pillow must lie across the bolster exactly in a diagonal position and in no other; she then places her head exactly in the middle of this diamond, lengthways. The eiderdown must be shaken before she puts it over her, so that all the feathers sink to the foot-end; she never fails, however, to press this out and redistribute them all over it again. I will pass over other trivial details of her ritual; they would teach us nothing new and lead us too far from our purpose. Do not suppose, though, that all this is carried out with perfect smoothness. Everything is accompanied by the anxiety that it has not all been done properly; it must be tested and repeated; her doubts fix first upon one, then another, of the precautions; and the result is that one or two hours elapse before the girl herself can sleep, or lets the intimidated parents sleep. The analysis of these torments did not proceed so simply as that of the former patient’s obsessive act. I had to offer hints and suggestions of its interpretation which were invariably received by her with a positive denial or with scornful doubt. After this first reaction of rejection, however, there followed a period in which she herself took up the possibilities suggested to her, noted the associations they aroused, produced memories, and established connections until she herself had accepted all the interpretations in working them out for herself. In proportion as she did this she began to relax the performance of her obsessive precautions and before the end of the treatment she had given up the whole ritual. I must also tell you that analytic work, as we conduct it nowadays, definitely excludes any uninterrupted concentration on a single symptom until its meaning becomes fully clear. It is necessary, on the contrary, to abandon a given theme again and again, in the assurance that one will come upon it anew in another context. The interpretation of the symptom, which I am now going to tell you, is therefore a synthesis of the results which, amid the interruptions of work on other points, took weeks and months to procure.