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- ArticleKrueger DW.J Clin Psychiatry. 1978 Apr;39(4):351, 355-6.This case report affords the dynamic understanding of a patient's conversion reaction of unilateral ptosis of the eye. The specificity of this manifestation of psychopathology is shaped by the patient's unconscious ideas about disease and the suitability of this symptom for the symbolic representation of her primary conflict.