RT Journal A1 Decker MD T1 GOgarty and joyce JF JAMA JO JAMA YR 1979 FD September 14 VO 242 IS 11 SP 1139 OP 1139 DO 10.1001/jama.1979.03300110013009 UL http://dx.doi.org/10.1001/jama.1979.03300110013009 AB To the Editor.—  As one who reluctantly set aside the study of James Joyce for that of medicine, I was delighted to encounter the recent article by J. B. Lyons, MD (241:1409, 1979), discussing his appreciation of Oliver St John Gogarty. However, I cannot accept the thesis of John P. Callan, MD, in the appended commentary, that the conflict between Joyce and Gogarty stemmed from social and familial rivalry; rather, these rivalries grew out of the professional and personal hostility between the two.The developing professional rivalry between the two young men competing for the favors and attentions of the Dublin literary aristocracy took a personal turn when Gogarty expelled Joyce from the Martello Tower lodgings they had shared, and which Joyce had originally secured; thus, Gogarty was (literal) Usurper, a role that Joyce believed Gogarty played in a literary as well as philosophical sense. This simmering hostility, interspersed with