"I'm laying out your options, Richard."
Richard, Who Is Really Worried
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Psychiatric Case Report #30356
Autofellatio in a 22-year-old male
Richard, an athletic young male, was referred and accompanied by his girlfriend of two years, Mary, a vivacious and energetic young woman. She initiated the interview while he sat nervously and refused to make eye contact. She complained that the enhancement of his spine has resulted in autofellatio so frequent and enthusiastic that he has refused intimate contact with her. He has jeopardized his future as a gymnast and may face a lawsuit from the university.
Richard complains that Mary does not fellate him adequately. When she faced him as he disclosed that, he looked away. Mary notes that he has never said that before. She suggests they discuss his lack of satisfaction at home, to which he reluctantly agrees.
When asked whether he was breast-fed, Richard immediately replied, "Oh, yes, Mary lets me all the time." After the question was clarified to refer to his mother instead, Richard answered "no" and became silent and thoughtful.
Patient has insisted on displaying his activity. Although gathering further information by watching a display has been seriously considered, it is ultimately rejected as unnecessary. Richard insists on explaining his "routine," offering a written description full of flowery and explicit language. The grandiose descriptions of his behavior bear further mention in the diagnosis that follows.
"Well, I make a big production out of it. I stretch and bend for the video camera. Then I just reach in for it. Slowly and playfully. I've got a full-length mirror strategically placed on the wall of my bedroom so I can watch myself while I'm being taped."
[Mary registers extreme surprise and anger upon learning how the video camera has been used. She reports that she has not known about this.]
"I can feel my vertebrae stretching out. I bend my neck all the way forward, past my stomach, to where my cock is standing at attention like a soldier, waiting for me, ready. Down below, my hands are always busy waiting for my tongue to join them and make love to my now-throbbing, pulsing tower of flesh.
"Finally I slink my backbone down farther. That's when I part my legs gently and bury my nose in the thick bush waiting for me. I feel the coarse hairs bristle on my tongue. It's heaven!
"Sometimes I have to stop to remove a pubic hair from my mouth.
"It's not like this mere sucking of the tip that some guys can do after months of swinging their legs over their heads. I can take it all!
"I lick up the underside, over the head, stopping to tickle the eye, then go down the top side. I flick it back and forth, then nibble it gently so I can feel the velvety mushroom head in my mouth. I love that velvety mushroom! I circle it several times. Then I place it on my cheeks, across my lips and chin, and across my neck. I feel the wetness on my cheeks.
"In one motion, I plunge it all the way into my mouth, banging the back of my throat. In and out I plunge my wonderful lover, sucking in, sucking out. I run my tongue over it and underneath it.
"I especially love it as I watch myself in the mirror, my head bobbing up and down like I'm giving it a daily cleaning. Like a cat.
"Finally I feel the surge along my shaft, the one that tells me I am about to get to the best part. I tighten the suction and prepare as a wave of hot liquid sweeps over my tongue and into my mouth. I swish it around my mouth, bathing my throbbing cock with it. I even like to smack my lips on the salty cream. I look into the mirror, watching the white fluid drip down my chin; then I lick it off, obscenely and lasciviously, slut that I've become. I swallow it with a loud gulp. Following that, I milk it heartily for the last good drops.
"Then I keep it in my mouth for a little while, letting it rest in there like a pacifier. And that's it. Almost the same routine every time."
Mary notes with a look of disgust that Richard has been "licking more than what he says." She exhorts him to explain, which he does in person.
"Well, sometimes my tongue goes farther down. I mean, way farther down. It's the weirdest thing. I haven't done it much; there are hygiene issues that I am attentive to. But if you can lick that part of you, I'm convinced you can do anything.
"So I look into the mirror and see myself reach out my tongue and just lick it. My tongue bristles when it touches me there, but the sensations just destroy me. And they make me come very hard."
Mary reports that she has not seen this particular activity, but that Richard admitted it to her on one occasion.
DIAGNOSIS OF CASE #30356
What is remarkable about Richard is how much he has allowed medical progress to initiate such a severe change in personality. His ability to fellate himself has disconnected him from other people, as well as from the need to derive pleasure and gratification from other people. As he admits, however, the operation only brought out something he knew he had in him.
The persistent pattern of avoiding other people indicates Avoidance Disorder. The excessive and damaging fixation on his penis suggests traits of Narcissistic Personality Disorder. He displays a sense of physical self-importance and a feeling that his penis is magnificent. He displays a lack of empathy toward his girlfriend. He has shown no concern for the contract he signed with the university to test his gymnastic abilities.
Richard has construed his unique ability as justification for excessive admiration. Additionally, he takes advantage of his girlfriend's attentions to exploit his sense of entitlement, much to her anger. In his written description, his self-involvement is couched in terms that suggest narcissism, not a healthy curiosity about his body.
FOLLOW-UP
Richard agreed to participate in psychotherapy. Treatment consisted of abstinence from self-gratification, and scheduled sessions of lovemaking with Mary. Emphasis was placed on mutual oral gratification. Richard appeared regularly for his weekly sessions and talked happily about his progress. Mary reported satisfaction with his progress. Treatment lasted exactly two months, then terminated successfully.
An interview with Richard's girlfriend two weeks after termination disclosed that she ended their two-year relationship due to a severe relapse on his part. She cried uncontrollably during the interview. Just after treatment ended, he withdrew into increasing self-absorption, along with renewed oral gratification of his own penis and ingestion of his own sperm. Following repeated angry arguments in which Richard refused to begin treatment again, Mary stopped seeing him. She reports frustration on her part and complete indifference on Richard's part.
Richard's final words to her were the following: "No one understands me, Mary. Try putting yourself in my shoes. The independence is more than I can describe. I am completely happy, I get what I want, and I do it how I want." After that, she had no more contact with him.
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January 1
It's the two-week anniversary of Mary walking out on me. I'm fine without her. All that psychological treatment was too much for me. I am in a unique position, and I will not give it up.
"I will never date again," I told my reflection this morning. "Who needs a partner? They can't suck a cock to save their lives. The only way you can get something done right is to do it yourself. Who says celibacy can't be hot?"
I am turning over a new leaf. It's New Year's Day and I have made a resolution: I will stop feeling guilty. And in the future, there will be more people like me. Women as well as men. We will see the powerful lure of this ability and how it makes a person into a self-sufficient individual. Don't kid yourself, those of you who will read these words in the future. When you ask yourselves, "Would I, if I could?" the answer will change your lives.
I resolve not to date anymore. I'm not even going to bother showing my unique ability to others. Who am I trying to impress? And the university has decided to sue me for breach of contract. I'm not worried about paying them --pornographers will line up at my door once I tell them what I can do. I will have a new career doing what I love best. I will command large sums of money. The world will watch me with envy.
So, Dear Diary, when I woke up this morning with a welcome hard-on, I smiled to myself. No need to hint to anyone what I need. Instead, I just curled down a few inches, slid my waiting friend down my throat, and made love to myself once again. I felt so at home.
I heard the paperboy toss this morning's paper onto my porch. There was a men's gymnastics tourney last night. Some of the guys I had trained with over a year ago were in it.
Oh well, maybe I will get back into gymnastics. I'm a very limber person.
Na.
Richard, Who is Finally Happy