The obsession was quickly seen through as a component instinct of exhibitionism, passive counterpart of scoptophilic drive. Scoptophilia is a desire to look at objects for sexual purposes and its passive form is to show oneself. The original impulse is to look at one's own body and genitals and derive [sexual] pleasure from it. It further develops into looking at others' bodies and genitals, as if for comparison. The original impulse to exhibit oneself stays side by side with the desire to look at others.
But then she reflected and added, "Wait a minute. You always come up with these weirdest things which only make sense to me weeks or months later. And I do recall, as a child, once, in Pennsylvania, where we had gone to visit relatives, I walked out of the bathroom, where my dad was getting ready to give me a bath, all naked, to finish the conversation I was having with my cousin. It shocked them greatly, because I was already 6 or 7 then."
She then confirmed that she was a motormouth as a child and could not get enough attention upon herself. And added that her constant talking was perhaps exhibitionism.
Interpretation was made that she cannot sleep because these exhibitionistic urges - for they will get her in to trouble if she gives into them in public even if only in sleep - are keeping her from falling asleep. She is afraid she will dream about them and so she does not fall asleep.
She brought further associations to this. She stated that she worries all night long about other silly things like serial killers will break into her house, or gas stove will be left in on position that will cause the gas to explode and kill all of them, or some harm will come to her daughter while she is out.
Analysis revealed they were all connected with her strong desire to be loved and equally strong repression of these desires. She had unconscious fantasies of going out in the public and seducing men by displaying her beautiful body - the exhibitionistic fantasy/her obsessive fear of going out in the public without socks or underwear/going out naked - and stealing those men's coveted part. Such a daring deed would require killing of them first , which was provoking the fear of retaliation on their part that was emerging as obsessions in her mind of serial killers coming to her house and killing her and her children.