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Case material from the analysis of a patient is presented because it reveals some of the forces acting to influence the choice between a paranoid reaction and overt homosexuality in a male.
A twenty-four year old man, an only child, had slept in his parents' bedroom until the age of eight. He was well developed, good looking, of average height and weight. He was born and lived in a southern state and was very proud of his family background. His mother had impressed it upon him that he was better than other children, and because he was descended from a German royal family, he was not allowed to play with other children. That he had been a bottle-fed baby he still resented very much. His parents had been married eighteen years when he was born. His only playmate was a cook's son, two years older, on the rare occasions when the mother left him; otherwise his time was spent alone playing with dolls until he was ten. He had fantasies that he was a king, living in a castle from which he controlled the weather by magic. The playmate was his subject and obeyed him unquestioningly. Mostly he was with his mother, her sister and their friends. They taught him to make paper flowers and to knit sweaters. He went to school at six and finished high school at fifteen. He was the pet of the teachers and always had the best grades. He attended a boys' preparatory school for two years, entered a leading eastern university and graduated at twenty-one.
He had obtained a position which he still held, in a large financial institution in Chicago through the father of his most intimate college friend and classmate. To this friend