Psychotherapeutics

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Sister is " high strung. " Father is well. When young, patient was regarded as sensitive. Her present trouble began three years ago. She suffers from digestive disturbances, dizziness, circulatory irregulari- ties, numbness in hands and legs, and especially from continuous feeling of fatigue. Her sleep is restless, she dreams a good deal. Attention is good, but her mental state is one of indecision. If left to herself, she would remain in the same place. To make a change in her sur- roundings i...s hard and painful to her. The fear of meet- ing people and specially strangers is quite intense; in fact, it constitutes her central obsession. At the age of eighteen she fell in love with a young man to whom she became engaged. A year later the engagement was broken off under very distressing circumstances. Since then the present condition has gradually developed. The patient was in a chronic state of mental depression and was not unaware of the real origin of her trouble, but the awareness was vague, often falling below the mar- gin of clear consciousness.

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