122 DISCUSSION 



occur with greater intensity in some people than in others ? Does 

 a defective hyper-thymus-gonadal group handle an incest complex 

 more inadequately because of the early appearance of the crav- 

 ing, thus forcing a repression before its time, with its consequent 

 readjustment to a narcissistic libido fixation? What does a 

 thyroidal-adrenal group do with the same situation? If the 

 psychical factors, and the knowledge of the accidents, traumata, 

 etc., can be integrated with the constitutional factors, I feel sure 

 we will be on our road to a real psychiatry. 



" For the present all we can hope for is to indicate the lines 

 along which the correlations can be made. The real indices of 

 endocrine adjustments are far from being well known. We 

 have a few facts bearing on extremes, the means are in a jumble. 

 Psychoanalysis also is in a similar situation. But it does deliver 

 definite qualities as for quantity, that is, the force behind the 

 wish that is still an important problem. Two patients may 

 deliver us two similar incest dreams. On the face of them they 

 have come through the censorship with quite similar distortions 

 and displacements yet they may have behind them dynamic 

 intensities of great variation, so that one patient has awakened 

 refreshed, shall we say satisfied, the other disturbed, diarrheal 

 and all cramped up ; the dream has only partly satisfied the wish. 

 Hence the quantitative factor is in great need of comprehension. 

 This is a problem for the future." 



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