Abstract
Although our standard diagnostic nomenclature in psychiatry covers many conditions, patients still appear in psychiatrists’ offices who do not fit a well-defined psychiatric disorder. Unusual behaviors may escape psychiatric classification if they do not create subjective distress, do not distress others, and do not involve functional impairments or legal problems. Entire subcultures related to these behaviors may exist outside of the awareness of psychiatrists and other mental health professionals. When no descriptive diagnosis is apparent, clinicians may still use psychodynamic knowledge and skills to assess a patient’s conscious and unconscious agendas and understand a patient’s complex reasons for seeing a psychiatrist. With this case conference, we present the case of a man who appeared as a “baby” for psychiatric evaluation and treatment. It soon became apparent that the patient’s request for treatment was complicated by a variety of other motives.
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