this problem is ill-defined since she does not wish to face or examine it however, it does produce progressively more tension this in turn precipitates a solution, but one determined at an unconscious level. one morning she wakes up to find this her left arm is paralysed after various medical checks by hospital doctors , no physical basis for this paralysis can be found in the course of discussion with her he unearths the connection between the tension her job has been creating and the paralysis she is now suffering from the arm that was necessary for typing letters now fulfils the function of preventing letters being typed the mental conflict associated with her work has expressed itself in a physical form .