A psychotic gynemimetic: I just had a pregnant thought.

Nomothetic and idiographic content analytic approaches to the Rorschach are used in complementary fashion to explore the psychotic personality structure and primitive interpersonal models in a 37-year-old biologically normal male, who was a gynemimetic, that is, a transvestite who aspired to have the genetalia of a woman. The Rorschach was riddled with psychotic verbalizations and imagery suggesting inadequate differentiation from the original symbiosis, inadequate symbiosis anxiety, and significant separation anxiety--a constellation culminating in the transsexual fantasy of fusion with the mother.