Conclusion

In reviewing the case, I spoke separately to both Terri and her mother, advising them each that Terri must now try to learn to live with her sexual inclination as best as she can, rather than attempt to change or repress them.

Terri's problem clearly stems from having been taken forcibly by an unsympathetic male at an early age-in a very real sense, a kind of rape. In her case, the problem was further complicated by having the man-boy-she loved and trusted stand by and let the traumatic experience happen to her and, equally traumatic, to allow himself to be similarly taken advantage of in front of her.

This has led to Terri's being frightened of over mature masculinity, particularly men with large genitals. But it has, conversely, presented for her the possibilty of meaningful relationships with not highly masculine men-including impotent men-or with members of her own sex.

Terri's problem is extremely deeprooted. While radical therapy of one sort of another might conceivably make her capable of participation in a so-called "normal" relationship, it is my personal opinion that the wiser course of action for her would be to seek a weak male or lesbian relationship, either of which seems likely to satisfy her sexually and emotionally.

I have tried to convince both Terri and her mother that whatever embarrassment or "shame" this sort of "unconventional" arrangement might entail is of far less significance than the relief it would provide.

Both Terri and Mrs. B. seemed quite willing to consider the suggestion as the most logical course of action under the circumstances.