AN AFFAIR OF THE HEART - NARCISSISTIC LOSS, DREAD, AND DEPRESSION IN AN AGING MAN

The inpatient staff asked for consultation. Dr. Silverman consulted on this case and had the opportunity to interview the patient. Dr. Brotman reviewed the case from the perspective of the electroconvulsive therapy consultant but did not serve in that capacity during the actual consultation. In future columns other experts will be asked to comment on written case histories. The editors of Clinical Challenges encourage readers to suggest clinical topics of current interest and debate in the field and to submit actual case reports for consideration by the ''experts.''