In Strasbourg, Pfitzner finally had some professional stability, and it was there he gained significant power to direct his own operas. He viewed control over the stage direction to be his particular domain, and this view was to cause him particular difficulty for the rest of his career. The central event of Pfitzner's life was the annexation of Imperial Alsace—and with it Strasbourg—by France in the aftermath of World War I. Pfitzner lost his livelihood and was left destitute at age 50. This hardened several difficult traits in Pfitzner's personality: an elitism believing he was entitled to sinecures for his contributions to German art and for the hard work of his youth, notorious social awkwardness and a lack of tact, a sincere belief that his music was under-recognized and under-appreciated with a tendency for his sympathizers to form cults around him, a patronizing style with his publishers, and a feeling that he had been personally slighted by Germany's enemies. His bitterness and cultural pessimism deepened in the 1920s with the death of his wife in 1926 and with meningitis affecting his older son Paul, who was committed to institutionalized medical care.