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A neurotic lawyer: AIDS or Oedipus?

After an exploration of some of the issues that might make psychodiagnosticians hesitant to present test material, a Rorschach case of a young lawyer who sought psychotherapy to deal with a catastrophic fear of acquiring AIDS in his sexual relations with women is presented and analyzed. The patient's anxiety about AIDS served to obscure his oedipal conflicts, which resulted in a split image of women as either mothers or whores. Supplementing the atheoretical Comprehensive System, psychoanalytic developmental theory is used to explicate the differential and structural diagnosis of the neurotic level of personality organization. If drive-based (focal) misapprehension of and conflict between inner need and outer reality within the context on an intact identity is the hallmark of neurosis, the Rorschach clinician must not allow ideological pressure to produce distortion and avoidance, promoting unnecessary conflict between atheoretical, nomothetic and theory-saturated, idiographic and developmentally based pe...