ABSTRACT
This chapter provides a case study about a adult patient named in this chapter as Mr H, who felt endlessly tormented by his view of the world, driven to violent rage by it, and unable to give it up. He seemed caught in a claustrum world where his only pleasure was in sadism and triumph. Tragically, during Mr H’s adolescence his father became ill with a degenerating illness and remained in a nursing home until his death. Mr H came into therapy plagued with images of his girlfriend having sex with other lovers. Mr H said that as a child he was always either annoyingly trying to push himself into the middle of everything to make sure he was noticed and admired or he was escaping into a world of his own. For as long as Mr H has no concept of forgiveness and understanding and merely deals in accusation and counter-accusation, feelings of guilt are intolerable.
