Steve, your case is getting more and more complex. I have the feeling that the "bubbles" are going to have a special significance. I am struck by how respectful and accepting you are of his strange stories. I can imagine him as being the kind of patient that might pull for you to humiliate and condemn him, yet you are consistently helping him to make sense out of his crazy thoughts and behaviors. It doesn't surprise me that he is responding by opening up and telling you more about his fears. Your framing his negative feelings about himself as a compliance was an extremely useful intervention. One that might permit him to consider the validity of the many accusations he has heard and thought about himself. To question the certainty of his belief that he is responsible for casing his father's death must have been so important. It appears to have allowed him to tell you of his mother's continued cruelty. Although I have an ominous feeling about the lengths to which this man has gone to comply with their accusations, I can see that he is wanting to work to overcome his horrible beliefs about himself.
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