I saw this patient again five years after the psychoanalysis. He was divorced from his wife and was apparently very quiet. He claimed to be entirely well, said he was jealous no longer, and every now and then had intercourse with women. I do not dare decide whether this result may be ascribed to the analysis and the therapeutic-educational course of treatment. The various confusion states, called periodic insanity, must be looked upon as an equivalent of permanent insanity. It is certainly striking to see how many alcoholics, morphinists, opium eaters, cocaine fiends and, in more recent years, victims addicted to adalin, veronal, medinal, luminal, etc., fear insanity. If such a case is analyzed one always finds the homosexual component and the repressed sadistic tendency. The psychic mechanisms of these disorders are the same as those described in the paranoid form of the jealousy delusion. We have in all these cases an endopsychic perception that inner forces compel greater stress on the delusions than on reality. The next case is a pure example of this condition under a form which often ends in suicide. 79. Mr. O. L., a very talented violinist, suffers unbearable anxieties, among them the fear of insanity being the strongest. He also has hours of terrific, unexplainable depressions for which he is unable to give any cause. He only _has the feeling that he is about to commit some terrible deed_ so as to rid himself of the anxiety and have peace once more. He thinks he might commit some crime and be jailed so as to be sure that there is nothing further for him to fear. During the first weeks he speaks only of his anxiety over his father. He has the idea fixed in his mind that his father will come to Vienna and have him interned in an insane asylum. Rather than put up with that _he will shoot his father first and then kill himself_. He reverts every little while to the suspicion that I am in league with his father. (That is the form which the identification of the physician with the father assumes with this class of patients. The physician is the symbol of the father.) He has been taking various narcotics for a number of years. Not, exactly, to sleep. For he sleeps well without the aid of veronal or pantopon. But he suffers so much of anxiety. And he feels that the narcotics make a better man of him. He uses unbelievable doses of these drugs. He has once taken with suicidal intent 10 g. veronal in one dose with the only result that he slept 24 hours “like a top” and woke up without any ill effects. He sleeps every day till 11 or noon, sometimes into the afternoon hours, and still wakes up somewhat drowsy.