Ramson's Theory on Sexuality, Aggression

Ramson's Theory on Sexuality, Aggression

<p><strong>Ramson’s theory on Sexuality, Aggression, Religion and Personality. </strong></p><p>Dr. Variankaval&nbsp;Ramasamy Annadurai , MD; DPM; <br>Consultant Psychiatrist, <br>Mercy Hospital, <br>Thillai nagar, Trichy, 620018, </p><p>Tamilnadu, South India. </p><p>2</p><p><strong>This book is dedicated to my father – Variankaval K. Ramasamy – Who infused me the </strong></p><p><strong>idea of&nbsp;‘thinking for the society’ into my personality sphere from early childhood. </strong></p><p>3</p><p><strong>S.No Contents </strong><br><strong>Sexulaity </strong></p><p><a href="#6_0">Development of psycho social sexual identity </a></p><p>1. </p><ul style="display: flex;"><li style="flex:1">1.1 </li><li style="flex:1">6</li></ul><p>1.2 </p><p><a href="#15_0">The ololuge </a></p><p>15 22 26 34 36 41 43 47 50 53 58 58 60 62 63 67 70 73 75 <br>1.3 </p><p><a href="#22_0">Deviation in the development of psychosexual identity </a><a href="#26_0">Sexual dysfunctions and aberration </a><a href="#0_0">Therapy </a></p><p>1.4 1.5 1.6 </p><p><a href="#0_1">Incest </a></p><p>1.7 </p><p><a href="#0_2">Initiation into sexual relationships</a><a href="#0_2">. </a><a href="#0_3">Masturbation and castration</a><a href="#0_3">. </a><a href="#0_4">The quest for the original father. </a><a href="#0_5">Human sacrifice / animal [ritual] sacrifice and symbolic sacrifice. </a><a href="#0_6">Oedipal anxiety of the father</a><a href="#0_6">. </a><a href="#0_7">Anxiety </a></p><p>1.8 1.9 1.10 1.11 1.12 1.13 1.14 1.15 1.16 1.17 1.18 1.19 1.20 </p><p><a href="#0_8">Origin of aggression </a><a href="#0_9">Castration as a playful activity. </a><a href="#0_10">Prescription symbol of doctors. </a><a href="#0_11">Acquisition and control of fire. </a><a href="#0_12">Personality and sexual behavior </a><a href="#0_13">Psychopathology</a><a href="#0_13">. </a><a href="#0_14">The relationship between hysteria and epilepsy</a><a href="#0_14">. </a><a href="#0_15">Relationship between culture and sexuality</a><a href="#0_15">. </a></p><p><strong>Origin of religion </strong></p><p><a href="#0_16">Origin of religion </a></p><p>2</p><ul style="display: flex;"><li style="flex:1">2.1 </li><li style="flex:1">90 </li></ul><p></p><p>4</p><p>2.2 </p><p><a href="#0_17">Fertility gods of ancient Tamil religion </a><a href="#0_18">Politics of castration </a><a href="#0_18">– </a><a href="#0_18">Part 1 </a><a href="#0_19">Politics of castration </a><a href="#0_19">– </a><a href="#0_19">Part 2 </a><a href="#0_20">Sacred fir pit. </a></p><p>94 </p><ul style="display: flex;"><li style="flex:1">2.3 </li><li style="flex:1">97 </li></ul><p></p><ul style="display: flex;"><li style="flex:1">2.4 </li><li style="flex:1">104 </li></ul><p>106 109 117 118 120 122 125 128 <br>2.5 2.6 </p><p><a href="#0_21">Medical emblem and snake symbolism. </a><a href="#0_22">Moses</a><a href="#0_22">. </a></p><p>2.7 2.8 </p><p><a href="#0_23">Lord Iyappan</a><a href="#0_23">. </a></p><p>2.9 </p><p><a href="#0_24">Pilaiyaar </a></p><p>2.10 2.11 2.12 </p><p><a href="#0_25">Murugan </a><a href="#0_26">Maha Baratham </a><a href="#0_27">Kaathuthu Karuppu </a></p><p><strong>THEORY OF PERSONALITY </strong></p><p><a href="#0_28">Formation of giving /receiving/taking away of traits </a><a href="#0_29">Giving traits and psychopathology </a></p><p>3. <br>3.1 3.2 3.3 3.4 3.5 3.6 3.7 3.8 <br>152 159 160 161 162 167 169 171 </p><p><a href="#0_30">Receiving traits and psychopathology</a><a href="#0_30">. </a><a href="#0_31">Taking away traits and psychopathology</a><a href="#0_31">. </a></p><p><a href="#0_32">Cattell’s personality</a><a href="#0_32">&nbsp;</a><a href="#0_32">factors </a></p><p><a href="#0_33">Giving / receiving / taking away traits in different personalities </a><a href="#0_34">Giving / receiving / taking away traits and</a><a href="#0_34">&nbsp;</a><a href="#0_34">psychiatric disorders </a><a href="#0_35">Therapy </a></p><p><a href="#0_36"><strong>Conclusion </strong></a><a href="#6_0"><strong>Bibliography </strong></a></p><p>173 174 </p><p>5</p><p>1. <strong>Sexulaity</strong>. </p><p>This theory&nbsp;stresses the importance of castration&nbsp;anxiety as the main&nbsp;reason behind the psychopathology of&nbsp;various neuroses,&nbsp;sexual dysfunctions&nbsp;and sexual&nbsp;deviations; but then it does not support Freudian Oedipal theory . </p><p><strong>1.1 Development of psycho social sexual identity </strong></p><p>A Male child has to identify with his father that he is also a male&nbsp;. This process is called as sex identification.&nbsp;In addition to&nbsp;sex identification the boy has to have&nbsp;a gender identification with his father&nbsp;with the net result of obtaining adult male sexual identity. </p><p><strong>Sex identification; </strong></p><p>During the period of 2-3 years the boy will engage in&nbsp;sex exploration. i.e.&nbsp;body exploration;&nbsp;this exploration leads to the discovery of the organ penis; handling&nbsp;the penis gives him some pleasure which&nbsp;will make&nbsp;him to indulge&nbsp;in repeated fingering of the penis;&nbsp;the pleasure&nbsp;out of&nbsp;repeated handling of the penis&nbsp;is only sensual in nature&nbsp;and it&nbsp;could not be called as&nbsp;infantile masturbation&nbsp;. </p><p>Unfortunately parents equate this behavior with masturbation&nbsp;and as they condemn&nbsp;the boy’s penis handling behavior they initiate castration anxiety on him— “Mooka aruthuduvaen” [cutting off the nose]. During&nbsp;this times police/thief,&nbsp;doctor /patient plays enacted by children&nbsp;are their&nbsp;own ways&nbsp;of mastering&nbsp;the castration fear&nbsp;and these plays do&nbsp;not indicate&nbsp;their intention&nbsp;to become doctors&nbsp;or police&nbsp;later in their&nbsp;life. </p><p></p><ul style="display: flex;"><li style="flex:1">Oral pleasure </li><li style="flex:1">while eating&nbsp;and anal pleasure while </li></ul><p>defecation are only sensual&nbsp;pleasure and there is no sexual pleasure&nbsp;{ eros } out&nbsp;of them ; hence&nbsp;there could&nbsp;not be&nbsp;oral phase&nbsp;{ kissing&nbsp;,fellatio ,cuninglingus&nbsp;are not based on oral pleasure&nbsp;and these&nbsp;acts should not be called as oral sex or anal phase in the psycho sexual&nbsp;development of&nbsp;a child.&nbsp;As the 6-12&nbsp;years period&nbsp;is an&nbsp;important one in&nbsp;the psychosexual development&nbsp;of a&nbsp;child there&nbsp;could not be&nbsp;any latency&nbsp;period <strong>a</strong>s told by </p><ul style="display: flex;"><li style="flex:1">Freud. There are no stages of sexual development.&nbsp;Psychosexual development&nbsp;is </li><li style="flex:1">a</li></ul><p>continuous process&nbsp;which starts&nbsp;by the&nbsp;end of&nbsp;2<sup style="top: -0.4217em;">nd </sup>year from sex identification&nbsp;to adult sexual identity. </p><p>The boy&nbsp;longs to have the size of the body,&nbsp;shape of&nbsp;the shoulder and&nbsp;penis of that of his father; he imagines that if he could move closely with his father&nbsp;he will get him what he&nbsp;needs; this primitive identification with his father is </p><p>based on Frazer’s’ theory of contagion—&nbsp;a magical thinking <strong>. </strong></p><p>6</p><p><strong>Gender identification; </strong></p><p>During the period of 3-12 years the boy has to&nbsp;have masculine gender identity&nbsp;with that of his father; the&nbsp;masculine characters are&nbsp;being aggressive , dominant, outgoing, masculine&nbsp;style of walking, dressing&nbsp;, speaking&nbsp;and interests&nbsp;in </p><p>special play&nbsp;activities; the boy will&nbsp;imitate his father’s gender&nbsp;related behavior with the </p><p>secret mission of getting a&nbsp;tall, big body and there by a&nbsp;big penis; his father’s acceptance and approval of his behavior&nbsp;and body&nbsp;growth will strengthen his identification with his father;&nbsp;to test whether the boy has identification&nbsp;problems, parents , specifically, </p><p>his grand ma and grandpa used to ask&nbsp;him ,”&nbsp;Are you&nbsp;a mother’s pet? or father’s child?”; </p><p>this is vice versa for a girl child. </p><p><strong>Gender definition; </strong></p><p>The American&nbsp;Heritage Society (2000) uses the following two sentences to illustrate the differences between&nbsp;sex and gender. </p><p>The effectiveness of the medication appears to depend on the <strong>sex </strong><em>(not gender) </em>of the patient; in peasant societies, <strong>gender </strong><em>(not sex) </em>roles are likely to be more clearly defined. </p><p>Sexologist John Money coined the term gender <em>role </em>in 1955. "The term gender role is used to signify all those things that a person says or does to disclose himself or herself as having the status of boy or man, girl or woman, respectively. It includes, but is not restricted to, sexuality in the sense of eroticism - Elements of such a role include clothing, speech patterns, movement, occupations, and other factors not limited to biological sex”. </p><p><strong>The process of getting sexual identity; </strong></p><p>Sex identity interacts with gender identity resulting in sexual identity which leads to adult sexual behavior. </p><p>Male sex identity + with masculine traits (gender identity)  male sexual identity  adult male sexual behavior. </p><p>Female sex identity + with feminine traits (gender identity)  female sexual identity  adult female sexual behavior. </p><p>Social reinforcement and modeling are the psychosocial factors which promote one’s sex identity and gender identity. </p><p>7</p><p>Psycho social factors also interacts with neuro endocrine system and the fronto limbichypothalamo pituitary axis&nbsp;which in&nbsp;turn promote the development of&nbsp;skills of recognition&nbsp;of psycho social sexual clues. </p><p>Development of psychosexual identity </p><p>Flow chart. </p><p>Male sex identity+masculine traits=male sexual identity. <br>{Gender identity} <br>Hetro sexual </p><p>Female sex identity+faminine traits =female sexual identity. </p><p>(Social reinforcement &amp;modeling) behavior. <br>Cultural sanction </p><p></p><ul style="display: flex;"><li style="flex:1">Psychosocial factors&nbsp;← </li><li style="flex:1">fronto lymbic system </li></ul><p></p><p>Hypothalamo pituitary adnenal axis. </p><p><strong>Possession; </strong></p><p>Suppose the boy has a male sex identity but attracted towards the </p><p>mother’s feminine character&nbsp;he will have a male sex identity but then&nbsp;a feminine gender </p><p>identity; This&nbsp;boy might devalue his penis and develop a&nbsp;“ longing “ for breast and </p><p>8</p><p>vagina assuming&nbsp;that his mother with breast&nbsp;is efficient&nbsp;, powerful, supportive , giving, caring and loving; he&nbsp;equates breasts&nbsp;to loving&nbsp;and caring&nbsp;, which&nbsp;is a&nbsp;magical thinking; the boy who is longing for the breast and to&nbsp;have feminine&nbsp;gender characters&nbsp;wants to disown the penis&nbsp;because of devaluation of his male sex organ&nbsp;as his&nbsp;father is arrogant, harsh&nbsp;, punitive, irresponsible&nbsp;and always under intoxication. </p><p>The boy who is longing to have breasts will move away from his father because of&nbsp;his unwillingness to have penis and he will&nbsp;always move closely with&nbsp;mother with a idea that close contact with her will&nbsp;enable him to have breasts; if his motivation is thwarted and not promoted but ridiculed by his mother he might develop&nbsp;breast envy unless his breast&nbsp;longing behavior is overcome&nbsp;by a strong process of&nbsp;identification with&nbsp;his father&nbsp;with some&nbsp;miraculous improvement&nbsp;in father /son relationship . </p><p>When a boy with strong male sex identity has a desire to have masculine gender character identifying with his father,&nbsp;and wish to have male secondary sexual characteristics like mustache, masculine voice and a big penis , will&nbsp;move closely with father thinking that close contact with him will&nbsp;enable him to get mustache, long penis in the future&nbsp;. These male children will&nbsp;value their&nbsp;penis and&nbsp;they will develop a strong male&nbsp;sexual identity. </p><p>The boy who is longing to have a big penis will indulge in behaviors to&nbsp;please his father to have a big body and a long penis.This boy will&nbsp;be afraid of moving closely with his mother, with the fear that closeness will bring him&nbsp;the breasts{ Frazer’s theory of magical thinking/fear of contagion&nbsp;}; hence the boy moves away from his mother not because of resolution of oedipal complex during the&nbsp;period of 3-5 years&nbsp;but because of fear of developing&nbsp;not only&nbsp;feminine attributes but also physical attributes&nbsp;like breasts. </p><p>The girl who wants to have a&nbsp;penis will move&nbsp;closely with his father identifying him and shun away from her&nbsp;mother because&nbsp;of the fear that moving closely with her will&nbsp;bring her breasts which she devaluates always;&nbsp;if her penis seeking behavior is blocked she will&nbsp;develop lifelong “penis envy&nbsp;“unless her penis envious behavior&nbsp;is overcome by&nbsp;a strong process&nbsp;of identification&nbsp;with her mother with some miraculous&nbsp;improvement in&nbsp;mother /daughter relationship . </p><p>During the 5-12 years period&nbsp;{ latency&nbsp;period of&nbsp;Freud} the boys will move&nbsp;only with boys in groups and the girls will move only with girls; this behavior will enable the boys and girls&nbsp;to develop respective gender identification and this is&nbsp;based also&nbsp;on the fear of possessing breasts by the boys and penis by the girls. </p><p>9</p><p><strong>Possession vs Exploration; </strong></p><p>During the adolescent period&nbsp;, having gained the confidence of a clear , firm&nbsp;male sex identity and a strong masculine gender characters with the net result of having an&nbsp;appreciable /solid&nbsp;male sexual identity , the boy&nbsp;wants to explore the breasts ,&nbsp;by touch, since there is no more fear of possession of breasts&nbsp;; he&nbsp;will be dreaming to&nbsp;see the breasts&nbsp;whenever an opportunity comes in&nbsp;the class room, play ground ,&nbsp;swimming pool&nbsp;or in the beach; these&nbsp;boys used&nbsp;to unbutton their&nbsp;shirts exposing their hairy chest;&nbsp;this is&nbsp;not to show their gold chain but to convey&nbsp;the females that they have no breasts and are fully&nbsp;males. </p><p>Similarly the female will try to cover her chest with shawls so that no boy can see&nbsp;her developing breasts; one cannot fail&nbsp;to notice the&nbsp;” </p><p>shoulder erect walking&nbsp;“ of&nbsp;the boys [&nbsp;without the breasts]&nbsp;and the “ shoulder down&nbsp;posture” </p><p>of the girls [&nbsp;due to&nbsp;the heaviness&nbsp;of their&nbsp;breasts] ; the&nbsp;decoration of&nbsp;shoulders with golden stars&nbsp;and the chest with&nbsp;medals by men, thus&nbsp;, has&nbsp;a symbolic&nbsp;meaning ; a&nbsp;girl will expose her breasts only&nbsp;and exclusively to her&nbsp;only lover when the right time comes when she&nbsp;thinks that she has&nbsp;attained a&nbsp;solid female&nbsp;sexual identity&nbsp;with the complte disappearance of&nbsp;fear of contagion; in&nbsp;an unrestrained&nbsp;society the girls will&nbsp;wear tight tea shirts to convey the message to the boys that she has got breasts and&nbsp;she is a&nbsp;fully grown female; boys will be seen&nbsp;always twisting their growing mustache&nbsp;upwards. The boy who has a poor&nbsp;male sex identity, poor male gender identity with the net result of having feeble male sexual identity&nbsp;will move closely&nbsp;with the girls not to explore the breasts but with the secret mission of possessing the breasts; these boys who have&nbsp;“ longing for breasts possession” might get attracted&nbsp;also towards&nbsp;the breasts of mother and sisters and this is not an incestual behavior as&nbsp;their intention&nbsp;is only&nbsp;possession and not exploration. </p><p>During the premarital romantic period&nbsp;‘touching ‘ and ‘holding the hands’ together and&nbsp;body contact&nbsp;between the boy and the girl&nbsp;will not provoke the earlier fear of possession of opposite body attributes; this leads&nbsp;to frequent&nbsp;holding of hands and frequent hugging&nbsp;; now&nbsp;partners are ready to kiss each other;&nbsp;aceptance of </p><p>each other’s gender / general characters and body attributes&nbsp;leads to kissing over the </p><p>fingers, the fore head&nbsp;, the cheeks and finally to lip kiss;&nbsp;this will take several days or weeks or months depending&nbsp;upon the personality of the partners and the culture in which they live. </p><p>Sweet kisses <br>Children will&nbsp;be reluctant to kiss others after 3 years&nbsp;and they will not accept kisses from others&nbsp;, even&nbsp;from parents&nbsp;and relatives&nbsp;; after&nbsp;3-5 years, children will give only&nbsp;‘flying kisses’ . </p><p>10 </p><p><strong>Why do man and woman kiss each other?! </strong></p><p><strong>Frazer’s theory of contagion </strong></p><p><strong>Law of contagion: </strong></p><p>When “a” is associated with “b” once, even when they are seperated at a later date whatever things that happen in “a” will also happen in “b”; vice versa. </p><p>Example; The&nbsp;placenta of the new born calf is tied up on the branches of milk trees (peepal tree<strong>, </strong>country fig tree) with the magical belief that the mother cow will give more milk. </p><p>“un aechil enakku vaendaam”&nbsp;( “ I&nbsp;do not want&nbsp;your spit/&nbsp;contaminared food or water&nbsp;”) is the often said statement by&nbsp;the children in Tamil culture ( while unwilling&nbsp;to share the half eaten biscuit “double dipped”, because of their&nbsp;unconscious fear that other’s saliva&nbsp;tinged food would affect&nbsp;their’s individuality. </p><p>Children do&nbsp;not share the half eaten candy&nbsp;with other children </p><p>because of the magical fear of{&nbsp;Frazer’s theory of contagion} contamination and losing </p><p>one’s own developing individual identity and not&nbsp;because of fear of infection ; this&nbsp;fear of contamination begins&nbsp;even before&nbsp;the onset of ejaculation for boys and menarche&nbsp;for girls; as the&nbsp;small children&nbsp;grow older&nbsp;they will be ready to&nbsp;share candy&nbsp;or a chocolate&nbsp;only, when the candy is&nbsp;divided/ shared&nbsp;by hands when&nbsp;it is&nbsp;covered by a kerchief&nbsp;or tissue paper {&nbsp;so that&nbsp;it is not tinged in other’s&nbsp;saliva] ; as years go they will be ready to share the&nbsp;chocolate covered&nbsp;by a kerchief and&nbsp;this time&nbsp;it is allowed&nbsp;to be&nbsp;bitten in between the&nbsp;jaws of&nbsp;a friend and is made&nbsp;in to pieces for sharing&nbsp;; as&nbsp;the fear&nbsp;over the saliva&nbsp;, contaminating their&nbsp;identity [fear of possession of&nbsp;character / body attributes] gets reduced&nbsp;as years&nbsp;pass, when&nbsp;the boy&nbsp;has the&nbsp;full confident of&nbsp;male pscho sexual identity he is ready&nbsp;to share half eaten snacks with&nbsp;his girlfriend&nbsp;; later it&nbsp;culminates in tasting her saliva&nbsp;itself through kissing during the&nbsp;end of&nbsp;late adolescent period&nbsp;; the fear over&nbsp;the saliva which was there threatening&nbsp;partners all along in the past&nbsp;, for&nbsp;the last 15 years , ends&nbsp;in deep&nbsp;, forcible&nbsp;violent kisses, finally in “fingering”&nbsp;and tasting the vaginal fluid&nbsp;itself in&nbsp;thebed room ; the&nbsp;fear of contamination&nbsp;makes the&nbsp;majority people to indulge&nbsp;in one to one male /female sexual relationship&nbsp;<strong>. “</strong>Aechil elai&nbsp;nayae! “ in&nbsp;Tamil means —doggy behavior . </p><p>Maaran’s father&nbsp;scolded him&nbsp;for not&nbsp;studying well&nbsp;by saying ,” go and drink&nbsp;the urine of&nbsp;Sivamani , then&nbsp;only you&nbsp;can learn good habits”!&nbsp;; few days </p><p>later 15&nbsp;year old,&nbsp;Maraan was admitted in a hospital for attempted suicide!. <br>Meena was&nbsp;married to&nbsp;his maternal&nbsp;uncle [mother’s brother]&nbsp;for the last 10 years; she&nbsp;was working as a teacher in&nbsp;a primary school ; her&nbsp;husband, Sivanesan was doing agricultural&nbsp;work; Sivanesan&nbsp;was 10 years&nbsp;elder to&nbsp;his wife;&nbsp;there was no consummation of marriage&nbsp;even after&nbsp;a decade of ‘marital’ life. Meena&nbsp;was very&nbsp;much obedient to her&nbsp;husband ; used to&nbsp;serve meal&nbsp;to him&nbsp;; used to&nbsp;talk about&nbsp;household matters with him; but then&nbsp;she never&nbsp;allowed her husband&nbsp;to touch her ;&nbsp;being her uncle,&nbsp;Sivanesan never scolded&nbsp;her for&nbsp;not giving consent for&nbsp;sexual life; both were&nbsp;brought for&nbsp;psychiatric </p><p>11 </p><p>help by&nbsp;Meenabal’s mother [ Sivanesan’s sister] for non consummation of marriage ;Meenabal </p><p>said that she did&nbsp;not have any&nbsp;sexual interest&nbsp;and she&nbsp;was prepared to give&nbsp;consent to Sivanesan to&nbsp;get married&nbsp;for a&nbsp;2<sup style="top: -0.42em;">nd </sup>time; The couple&nbsp;came for&nbsp;a 2<sup style="top: -0.42em;">nd </sup>visit and&nbsp;therafter they did not turn up. </p><p>Malar vizhi was married to Kabilan&nbsp;for the last four years ;&nbsp;Kabilan was 10 years older to Malar vizhi;&nbsp;she never allowed&nbsp;her husband&nbsp;to have&nbsp;sexual life with&nbsp;her ; she had&nbsp;ever served&nbsp;him food or&nbsp;water ans&nbsp;never had any spontaneous talk&nbsp;with him;&nbsp;as she was&nbsp;brought by&nbsp;her mother&nbsp;for counselling&nbsp;, she&nbsp;did not&nbsp;show much interest&nbsp;in the counselling session&nbsp;; Patient&nbsp;did not&nbsp;came for 2<sup style="top: -0.42em;">nd </sup>visit. </p><p>It was&nbsp;interpretated by&nbsp;the therapist&nbsp;that ,&nbsp;both Meenabal&nbsp;and Malarvizhi were not interested&nbsp;to have&nbsp;sex with their husbands&nbsp;because of the&nbsp;reason that&nbsp;they had not turned away because&nbsp;of the fear of contagion&nbsp;from men who were 10&nbsp;years older then them during&nbsp;their period of&nbsp;their psychosexual identity&nbsp;development; unless&nbsp;a person had fear of contagion&nbsp;towards a&nbsp;person in&nbsp;the past&nbsp;he /she&nbsp;would not develop&nbsp;liking for&nbsp;sexual exploration of that person&nbsp;; the&nbsp;fear of contagion usually&nbsp;would be&nbsp;towards persons of oppostite sex&nbsp;of similar age&nbsp;group [natural selection]; hence the&nbsp;age difference&nbsp;between couples should&nbsp;not be more&nbsp;than 3-4&nbsp;years , [ giving allownee to&nbsp;cultural practice]&nbsp;and if&nbsp;it is more&nbsp;than 7&nbsp;years , definitely&nbsp;there would be problem in the sexual life of couples. The patriarchal society wants to have&nbsp;a young&nbsp;bride for&nbsp;the bridegroom&nbsp;because of the paranoid doubts about the&nbsp;virginity of&nbsp;the women&nbsp;and also&nbsp;due to the fact&nbsp;that man&nbsp;always have unconscious&nbsp;fear of&nbsp;handling a woman&nbsp;whose age is&nbsp;equal to that of him in the bed room apart from the&nbsp;idea of&nbsp;using her&nbsp;as servant&nbsp;maid for him&nbsp;in his old age . </p><p>Mannan was brought for the complaints&nbsp;of sleep&nbsp;disturbances , lack of interest in maintaining&nbsp;his personal&nbsp;hygiene , delusion of reference&nbsp;and strong&nbsp;suicidal intentions&nbsp;, of very&nbsp;short duration ;&nbsp;He accused that&nbsp;his friends and neighbors&nbsp;were making&nbsp;fun of </p><p>him that he&nbsp;was a no”&nbsp;9 “and&nbsp;that was the&nbsp;reason for&nbsp;the failure&nbsp;of his marriages; as&nbsp;his own brother suspected&nbsp;his ”&nbsp;potency” , he&nbsp;decided to&nbsp;commit suicide. </p><p>Mannan got married&nbsp;to his sister’s daughter about&nbsp;6 years&nbsp;back; that time he was 26 and the girl was 16; There was no consummation; his marriage life ended soon as the girl opted to continue her studies; later he went abroad to work and returned home after 3 years; he again got married to a 26 years old girl, 8 months back.&nbsp;But then&nbsp;his 2<sup style="top: -0.42em;">nd </sup>marriage also ended&nbsp;in divorce , following&nbsp;interpersonal problems&nbsp;between inlaws as he&nbsp;could not make his wife pregnant&nbsp;even after 8 months of marital life. </p>

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