ABSTRACT

The patient is forty-six years old. He has three older brothers and two younger sisters. His father was a powerful, wealthy man who died a few years ago. The patient’s difficulties go back to early childhood. His testicles remained in the abdominal cavity and two surgical operations were unsuccessful; consequently he is sterile. He didn’t finish high-school education and has never had a steady job. His brothers work in the family business, but because his relationship with his father was so bad it was impossible for the patient to enter the business also. He described his father as a violent dictator. The patient left home and lived in a slum for four years. He took to drink and gave his money away to any new acquaintance.