But I found that the patient, an adult woman, _still believed and obstinately maintained_ that her mother’s death was her fault. She had never ceased to believe it. Why was this? Why had not the unsophisticated belief of a child become modified by the maturity of years? It did not seem to be probable that the given child’s reason was the real adult reason for self-reproach. I did not believe it. A woman forty years of age could not reproach herself on such grounds. And, even if this belief had been originally the real reason, as a matter of fact she had outgrown the child’s religious belief. She was a thorough-going agnostic. Further probing brought out the following: Two years before her mother’s death, the patient, then thirteen years old, owing to her own carelessness and disobedience to her mother’s instructions, had contracted a “cold” which had been diagnosed as incipient phthisis. By the physician’s advice her mother took her to Europe for a “cure” and was detained there (as she believed) for two years, all on account of the child’s health. At the end of this period a serious, chronic disease from which the mother had long suffered was found to have so developed as to require an emergency operation. The patient _still believed_ and argued that if her mother had not been compelled to take her abroad she (the mother) would have been under medical supervision at home, would have been operated upon long before and in all probability would not have died. Furthermore, as the patient had heedlessly and disobediently exposed herself to severe cold and thereby contracted the disease compelling the sojourn in Europe, she was to blame for the train of circumstances ending fatally. All this was perfectly logical and true, assuming the facts as presented. Here then was the real reason for the patient’s persistent belief that her mother’s death was her fault and the persistent self-reproach. _It also transpired that all this had weighed upon the child’s mind and that the child had likewise believed it._ So the child had two reasons for self-reproach. One was neglecting to pray and the other was being the indirect cause of the fatal operation. Both were intensely believed in. The first based on the “eye of God” theory she had outgrown, but the other had persisted. Summing up our study to this point: All these memories involving grief, suffering, self-reproach, bells and mother formed an unconscious setting which gave meaning to bells in towers and took part in the functioning to form a psychic whole. The conscious psychosis was first the emergence into consciousness of two elements only, the perception and the affect, and the fear was a reaction to self-reproach, a fear to face self-blame.