Jerry, a new patient, apparently suffers from a persecutory delusion involving evil entities occupying San Francisco's sewers.
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Jerry's paranoid delusion leads him to believe that his friend was killed by malevolent, non-human creatures that live in the City's sewers.
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Jerry has a sexual performance problem which is hampering his relationship with his girlfriend, the ex-prostitute.
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Jerry spins a fantasy about helping his mother murder his abusive father.
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