ABSTRACT

This was a man of 30. Extracts from the GP's referral letter are as follows: 'I should be most grateful if you can help this man in any way, as his life

so far appears to have been an uninterrupted series of disasters. 'His mother sounds as if she suffered from a depressive illness during his

childhood, as he says she often took to her bed and left the management of the household to him for long periods. His father is described as being too tired to do more than watch television or doze in his chair after work.