because each of our patients ' manic episodes was heralded by a marked increase in unconscious or conscious phallic sexual thoughts , feelings , and behaviors , and because this increase preceded any observed deterioration in ego or superego functioning , we hypothesize that a primary increase in our patients ' phallic instinctual drives secondarily overwhelmed the capacity of their egos to defend against these drives , and that this , in turn , resulted in the development of our patients ' overt manic symptoms .
C0039869
thoughts
C0004927
behaviors