Abstract
This article describes psychotherapy with a patient who exhibited symptoms of sexual identity confusion, perverse sexual activity, and character disorder. The therapy was concerned primarily with the underlying three-layered defensive structure of the patient's neurotic condition, which was revealed in the games the patient initiated with others, including the therapist.
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Ken Woods
Ken Woods is currently semiretired, having closed down most of his private practice. He formerly retired from conducting treatment in residential treatment facilities and sometimes consults in the area of residential treatment. Currently, he is pursuing his interest in writing and clinical research.