Another illustration of a typical case is given by Doctor Brill. I quote scattered passages from the published notes on the case record of the patient, "E. R." He graduated in 1898 and then took up schoolteaching.... He did not seem to get along well with his principal and other teachers.... He imagined that the principal and other teachers were trying to work up a "badger game" on him, to the effect that he had some immoral relations with his girl pupils.... In 1903 he married, after a brief courtship, and soon thereafter took a strong dislike to his brother-in-law and sister and accused them of immorality.... He also accused his wife of illicit relations with his brother and his brother-in-law, Mr. S. Mr. S., his brother-in-law, was the arch conspirator against him. He also (while in the hospital) imagined that some women made signs to him and were in the hospital for the purpose of liberating him. Whenever he heard anybody talking he immediately referred it to himself. He interpreted every movement and expression as having some special meaning for himself.... Now and then (after his first release by order of the court) he would send mysterious letters to different persons in New York City. At that time one of his delusions was that he was a great statesman and that the United States government had appointed him ambassador (to Canada), but that the "gang" in New York City had some one without ability to impersonate him so that he lost his appointment. (Later, while confined to the hospital again) he thought that the daughter of the President of the United States came to visit him.... After the patient was recommitted to Bellevue Hospital, he told me that I (Doctor Brill) was one of the "gang." I was no longer his wife in disguise (as he has previously imagined) but his enemy. Brill's discussion of this case contains an interesting analysis of the several stages of "regression" and the unconscious mechanisms which characterize paranoia. He holds that such cases show a "fixation" in an earlier stage of psychosexual development. The patient, an unconscious homosexual, is really in love with himself. The resulting inner conflict appears, with its defense formations, as the delusion of grandeur and as conscious hatred for the person or persons who happen to be the object of the patient's homosexual wish fancy. However this may be, the point of interest for our study is the "projection" of this hatred to others. Says Brill: The sentence, "I rather hate him" becomes transformed through projection into the sentence, "he hates (persecutes) me, which justifies my hating him."