A 33-year-old merchant marine seaman was treated because he felt he was pregnant. He described symptoms not unlike those of a pregnant female. He functioned so well that one would not suspect any difficulty unless the patient discussed his delusion. As for the diagnosis of the patient, only an impression is ventured at this time: a developing schizophrenic process, paranoid in type. A psychodynamic formulation was attempted with homosexuality as the nuclear conflict. Of the 3 motivational components of homosexuality (sex, power, and dependency) the sexual component appeared the weakest in this patient. He identified with strong male figures in an unconscious effort to appropriate their strength. His struggle for power coupled with his conflict over socially unacceptable sexual interests pushed him into a delusion of grandeur as a specific self-reparative effort. He felt that nations were moving rapidly toward destruction with atomic weapons. Civilization would be saved only if children were born resistant to radioactivity. He felt chosen to bring the 1st such child into the world. In his messianic role he had attempted to identify with the Mother of Christ, and the expected child would be Christ. His symptoms began to subside after 2 months of psychotherapy and in 4 months he was almost symptom free.