Reference no: EM133349173

Mr. Phyle is a middle-aged man who has recently been admitted to a hospital psychiatric ward. He was admitted because of displaying sexually inappropriate behavior in public; specifically, Mr. Phyle was seen exposing himself to his female neighbors. Since his admittance to the ward, he has occasionally attempted to expose himself, usually in the presence of female staff members or visitors. Typically, the visitors in particular, have responded by screaming, gasping, running away, or with shocked facial expressions. The staff members have tended to react by reprimanding Mr. Phyle or by sending him back to his room. Mr. Phyle reports to his helper that he continues to expose himself because it makes him feel like "a worthwhile person". He reports that it is the one thing he feels he can do successfully. In addition to this, Mr. Phyle continually makes derogatory statements about himself and has indicated that he sees himself as unattractive and unsuccessful. He reports that he always feels unattractive around women and has never been able to establish a relationship in which a woman responded to him positively. Moreover, his few attempts at relating to women sexually have "bombed" miserably; the women have refused his advances. Now Mr. Phyle reports that he tries to avoid getting involved with women on any basis - interpersonal, physical, or otherwise.

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