Abstract
A case of “checking” obsessive compulsive neurosis in a young adult is described. It's evolution is traced from early behaviour viewed as adaptive to partial sightedness which becomes maladaptive when autonomous obsessions and rituals develop. The concepts of “preparedness” and “self-stimulatory behaviour” amongst others are used to examine possible reasons for this change. The relevance to more usual cases where no predisposing handicap exists is discussed.
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