Sections
DSM-IV-TR Casebook Diagnosis of "Blood Is Thicker Than Water" | Follow-Up
Excerpt
Matthew is a 34-year-old single man who lives
with his mother and works as an accountant. He is seeking treatment
because he is very unhappy after having just broken up with his
girlfriend. His mother had disapproved of his marriage plans, ostensibly
because the woman was of a different religion. Matthew felt trapped
and forced to choose between his mother and his girlfriend, and because "blood
is thicker than water," he had decided not to go against
his mother's wishes. Nonetheless, he is angry at himself
and at her and believes that she will never let him marry and is possessively
hanging on to him. His mother "wears the pants" in
the family and is a very domineering woman who is used to getting
her way. Matthew is afraid of disagreeing with his mother for fear
that she will not be supportive of him and he will then have to
fend for himself. He criticizes himself for being weak, but also
admires his mother and respects her judgment"Maybe Carol
wasn't right for me after all." He alternates
between resentment and a "Mother knows best" attitude.
He feels that his own judgment is poor.