Winnicott’s notes on Balint’s paper. Winnicott discusses Balint’s premise that character patterns during thrill situations are related to the state of regression. Winnicott explores the effect of his own ideas of early infant development, and of dependence and independence on such patterning. He proposes that the tendency to manic-depressive swing certainly resembles the alternation of denial of dependence and exaggerated dependence (clinging) on not-me objects. Balint’s alternatives in this case both avoid the anxieties belonging to the establishment of the central i am state and the central ‘depression’ or concern, or sense of responsibility, belonging to the depressive position.