[February 1994] Andrés

This is a 39-year-old patient who came for consultation at the age of 33 in a state of deep anxiety (he traces it back to a temporary loss of consciousness six years before, diagnosed as being due possibly to a cerebral aneurysm but not confirmed clinically). He has death-related fears, a tendency to depression, and difficulty in communicating with others, manifested specifically in losing the thread of the conversation easily and not being able to look at the face of the person he is talking to—not the eyes in any case, especially if the person is a man. If nevertheless, eye contact is made, he suffers deep mental turbulence, gets totally disorganized, experiences extreme feelings of shame, strange tingling, and tickling sensation on his lips—as if they were protruding in the direction of the other person—his mouth, and his anus. This causes him to think that he might have homosexual tendencies, which he is unable to recognize, saying he has never felt sexual desire towards men.