Can’t deny it was distracting, but session managed to press on. As I stroked him, he explained that she’d been fired from work for ‘sexual misconduct’, which seemed to strike us both as unusual. XXX Patient still seemed conflicted, so I fellated him to calm him down. Patient seemed soothed by discussion, and made appointment for next day.W 05/14/14
Patient again shocked by size of my bust. Spent session trying to ascertain what triggered delusion—no military history, no signs of PTSD. After assurances that I wasn’t going to corrupt him, patient clarified: perhaps as a subconscious response to sexual interest shown last session, patient is worried about corrupting me. Confronting the delusion obviously dangerous, so humored patient and spent most of session debating the wisdom of not using power. Again, argument would be futile, so I humored his theory, and asked what sort of changes it would cause.
