Schziophrenia: Paranoid Type

Schizophrenia: Paranoid type

Bill's delusion about the film made in reference to his sexual encounters, overwhelmed his mind to the extent that he began to belief the paranoid thoughts that were provoking his mind. He may have been paranoid about someone, such as a family member, finding out about these encounters. Being that Bill is shy and also does not have many friends, his family may have been his only source of social contact and he may have had a fear of losing that contact if they found out and did not approve of the homosexuality. It could also be a reaction to guilt. He said that all encounters were initiated by the partner, which may have developed a sense of guilt inside of him for surrendering to his partners.

A person diagnosed with schizophrenia does not always engage in homosexual behaviors. In regards to Bill, his social history indicated that as a young child, he resented and feared his father. His father also was having an affair on his wife. As Bill witnessed this as a child, he may have developed unconscious assumptions about a heterosexual relationship and how one person feels and acts towards the other. Also, the hatred towards his father grew so strong, he grew apathy and then regret when his father died. This event alone could have seriously impacted his mentality and his sexual orientation.

In regards to Bill's social history, one could conclude that Bill developed as a young boy in a tense and broken home. The relationship between his mom and his dad as well as himself and his dad could have had an impact (and the start) to his social withdraw. His social insecurity and lack of social group, grew with him. Having social interaction is an extremely important factor for all ages but especially adolescents. When he became a man, he lacked the skills that an average person would have already developed. This would only cause his insecurities to increase. Also, Bill may have engaged in his first homosexual encounter because he had met someone who did seek interest in him. Because Bill, was use to being ignored and alone, he would opt to keep these relationships and engage in such conduct rather than have no relationships at all.