Dr
Case Study #5
Larry Goranov was a 57-year-old single unemployed white man who was in weekly psychotherapy. He found it
"humiliating" that he was forced to see trainees who rotated off his case every year or two. He frequently found that
the psychiatry residents were not especially educated, cultured, or sophisticated and felt they knew less about
psychotherapy than he did. He preferred to work with female therapists, because men were "too competitive and
envious."
He enjoyed fine restaurants and "five-star hotels," but he added that he could no longer afford them. He wore clothing
that appeared to be by a hip-hop designer generally favored by men in their 20s..
Diagnosis?