Frank is a well-groomed 45-year-old male who seems to be struggling with the difficulties that come with being of same-sex orientation. He is not well conversant with the real issue that is troubling him as he denies having any symptoms for depression or anxiety disorder. Frank is a man who seems to be well kept and in control of all the other areas of his life except his sexual life with his boyfriend. He explains that his reason for therapy is because his boyfriend does not want to have sex with him. However, on further inquiries, Frank states that they have sex at least once a week which is statistically the average time’s couples have sex.
Nevertheless, he further persists that he just wants his boyfriend to only have sex with him indicating that there is a probability his boyfriend is cheating on him. Additionally, this might indicate that he is feeling insecure or even rejected because his boyfriend does not want to have sex with him, as much as Frank would want them to engage in sexual intercourse. He further explains that his boyfriend is Orlando Bloom, the actor, which raises the questions that maybe he is living in a fantasy world where he considers Orlando to be his boyfriend, yet he really isn’t. Similarly, he might be expressing these jealousy feelings and insecure kind of emotions because of seeing Orlando’s sex scenes in the movies.
In Frank’s case, I will use a psychodynamic approach which I will view his mental condition from a perspective of what he is lacking (Akhtar, 2009). Using this approach, it focuses on the problems that an adult suffers from which are rooted back to one’s childhood. Similarly, it focuses on internal conflicts that a person has and how he handled them on both an individual and societal level. In this case, to develop this approach, I will look harder at franks upbringing mainly how he was treated by his parents after coming out as gay to them (Morrison, 2014). Frank is a 45 old gay man, and during his childhood and teenage years, being gay was not something that was welcomed.
Therefore, I conclude that he has conflicted a lot with his sexual orientation and this might have taken him to a fantasy world where he pictured Orlando bloom as his boyfriend and it provided him with a safety net. His mental condition can be attributed to an unsuccessful development in his childhood which resulted in Frank having problems dealing with his personality structure. From a psychodynamic approach, patients tend to create themselves a superego which helps them to maneuver particularly through their psychosexual stages of childhood (Gabbard, 2017). Hence, I believe Frank views a famous man like Orlando bloom being his boyfriend because it boosts his ego. The unconscious motives for most individuals are sex and aggression. In franks case, his superego is much stronger, and his ego cannot counteract, his need for Orlando bloom to have sex with him only.
While treating frank, I will focus on three critical things, interpretations, frame, and insight (APA, 2012). I will first deal with his transference feelings for Orlando Bloom and examine from where they were rooted. Afterward, I will provide him with good reasons and interpretations of why he is feeling such kind of feelings for Orlando Bloom. In addition, I will resonate with him about his projected behavior of him wanting Orlando bloom to have sex with only him. By handling this interpretation stage right with Frank, it will give him insight and he can understand the unconscious motivations that are making him feel and behave in such a manner towards Orlando Bloom. With this, understanding Frank can, therefore, learn how to deal with these emotions by going back to his childhood.
Akhtar, S. (2009). Turning points in dynamic psychotherapy: Initial assessment, boundaries, money, disruptions, and suicidal crises.
American Psychological Association. (2012). Guidelines for psychological practice with lesbian, gay, and bisexual clients. (2012). American Psychologist, 67(1), 10–42. doi:10.1037/a0024659
Gabbard, G. O. (2017). Long-term psychodynamic psychotherapy: A basic text. American
Morrison, J. (2014). DSM-5 made easy: The clinician’s guide to diagnosis. New York, NY: The