Abstract
In reviewing the literature on the neuropsychiatric-dermatologic borderline, one is impressed with the comparative rarity of serious studies of the sexual psychoses as factors in the development and prolongation of dermatologic symptoms. The haste to disavow any leanings toward strict or ultrafreudianism, which just now is almost social good form among medical writers, has perhaps had a repressive effect on study of the sexual psychoses as they concern other fields of medicine. In the recent American dermatologic literature, Hazen and Whitmore1have had the courage to say that they believe that a large proportion of cases of pruritus vulvae are attributable to marital unhappiness or ungratified sexual desire. Reports of the occurrence of itching as part of sexual complexes have come largely from psychiatric sources, but Sack,2incidentally to a discussion of psychotherapy in cutaneous disease, specifically mentioned a type of case which I believe would be more

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