Jessie attempts to present himself as an effective alert bright young man who is in possession and control of outstanding intellectual functions. He comes through however, as a bragging dishonest, suspicious boy over – whelmed by the feelings of insufficiency and inadequacy. This is ample evidence for both organic and psychotic thought disorder. In addition, his impulsivity and uncontrolled acting out suggest antisocial features in his character makeup which may bring him trouble with the law. His emotional conflicts are severe but difficult to disentangle from the effects of the presumed organic.