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CASE PRESENTATION OF A PATIENT TORN BETWEEN LOVE FOR HIS WIFE AND HATE FOR HIS HOMOSEXUALITY By Nancy Hujik
DuPont, M.Ed. ABSTRACT
This case study will examine five years of psychoanalytic sessions with a middle-aged patient in an attempt to understand the patient's communications to the analyst and the analyst's perceptions of the patient's manifestations of the libidinal and aggressive drives. The patient exhibits self-destructive manifestations of anger, paranoid anxiety, self-destructive attacks, psychosomatic illnesses, inadequacy, shame, split identity, emptiness, phobias, and promiscuity. The patient lives in conflict between being married and his desire for promiscuous sex with men. He appears unable to manage his pent-up aggressive and libidinal impulses. The study will attempt to understand the patient's unconscious motives for his behaviors. It appears that the patient finds release from his pent-up aggressive impulses through his destructive behaviors and he finds libidinal pleasure from promiscuous sex. The patient believes that homosexuality is the bane of his existence. Consequently, he tortures himself and those around him for his inability to be a man. It appears that behind the patient's anxiety hides a desperate attempt to avoid feelings of emptiness, annihilation, a suicidal wish, and a unconscious wish to be loved by men.
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