Customer Service | Help | FAQ | PEP-Easy | Report a Data Error | About
Tip: To download the bibliographic list of all PEP-Web content…

PEP-Web Tip of the Day

Did you know that you can download a bibliography of all content available on PEP Web to import to Endnote, Refer, or other bibliography manager? Just click on the link found at the bottom of the webpage. You can import into any UTF-8 (Unicode) compatible software which can import data in “Refer” format. You can get a free trial of one such program, Endnote, by clicking here.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Meissner, W.W. (1977). A Case in Point. Ann. Psychoanal., 5:405-436.

(1977). Annual of Psychoanalysis, 5:405-436

A Case in Point

W. W. Meissner, S.J., M.D.

I would like to present a case which came to my attention some years ago, and which graphically displays some particular aspects of what I have referred to, more generally, as the “paranoid process” (Meissner, 1977a). In addition, this same case displays some fascinating and unusual variants of the paranoid process which are rarely observed clinically.

The Case

The patient was a young man in his mid— thirties, who held a fairly well— paying position as a minor executive in a large accounting firm. His income was quite comfortable and allowed him to enjoy some of the finer things of life. He lived alone and had never married. The patient was brought to our hospital in a piteous state. He was agitated, disorganized, disoriented, and in a state of tremulousness and overwhelming terror. He would sit clutching his head and moaning, muttering almost unintelligibly about his “enemies.” He was utterly terrified of anyone who even looked like a doctor, and would withdraw in a horrified panic, alternately screaming and crying and then pitifully begging the mercy and pity of the physician.

Not much of a coherent story could be gotten from the patient at this point, so he was admitted to the hospital, given a quiet room, and started on moderately high doses of phenothiazines. Over the ensuing few days, he gradually quieted down and became more coherent. As he became less terrified, he was able, little by little, to reconstruct the story of his coming to the hospital. I would like to summarize the reconstruction of his decompensation, which lasted over a period of several days. Where possible, I will present the patient's account in his own words.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2019, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.