ABSTRACT
My history of involvement with Deborah and her family began before this treatment episode. I had seen Deborah’s older sister, Linda, about 20 years earlier when Linda was an adolescent. During the course of the treatment, I had several meetings with their parents, both of whom were successful and powerful people. The treatment was superficially successful in that behavioral gains were made and the family was satisfied, but I felt that Linda remained unchanged in any significant way. Then, about 15 years before the current episode, I saw Deborah, also an adolescent, because of her psychosomatic ailments, passivity, and growing concern about sexual identity. She harbored a great deal of anger toward her family but could not express it easily and was made uncomfortable by it.
