Here was a girl pretending to her friend and to the clinic that she was sexually active. She changed her partners frequently, perhaps because they became too pressing for intimacy, or because, like the doctor, they were made to feel clumsy and intrusive. Her lack of sexual activity was not through choice and her avoidance of contact with the genital area was clearly shown by her manoeuvres to avoid her cervical smear. Even confessing to the doctor that she was not having intercourse was preferable to being examined. She provoked in the doctor a strong wish to protect her from intrusion and assault. The doctor would need to guard against continuing to collude with Miss K.’s need to be protected. Otherwise no progress in the examination (both of the psychological reasons for the defensiveness and of the physical body) would be made.