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Psychoanalytic Review, 1945, Vol. XXXII, No. 4, pp. 373–402.
The author describes the analysis of a patient who evidenced a character disturbance, an obsessional neurosis, a pre-genital conversion symptom, and a paranoia—the paranoia bearing a close relationship to passive homosexuality. Analysis yielded a reconstruction of childhood experiences. Among the findings were compulsive brooding, compulsive character traits, feelings of dullness, projection, provocation and pedophilia. Analysis showed that they were used as defence mechanisms to protect the patient against his negative Oedipus complex. The repressed wish was to have the father's penis inserted into the bowel. The author points out that analytic technique in the handling of a psychosis varies with the patient. In the patient described two unusual procedures were used. The analysis was in danger from two sources. Termination might result if the homosexual attachment between patient and analyst increased. The analysis was further endangered because of facility with which the patient lost confidence in the analyst. The author believes these dangers were effectively handled by advising the patient to engage in intercourse. This resulted in decreasing the homosexuality as part of the libido was transferred to a female object. A second deviation in the usual technique which aims to have the libido concentrated upon the analyst, was to attempt the opposite in order to lessen the tension caused by the patient's homosexual trends and hence to make them more analysable.