Neurotic Disorders. Obsessive-Compulsive Neurosis

It is a phenomenon in which thoughts, feelings and behavior of an individual are orientated by an obsession, desire, temptation, forbidden or requirement.

In psychoanalysis, under the obsessions it is meant alien “I” thoughts that arise against the will of the individual. Options of obsession are “mental chewing gum” and “incubation”. “Mental bubble-gum” refers to obsessive thoughts, reflexing, pronunciation, thinking. For example, obsessional patients may be prone to recurrent obscure reflections on philosophical topics (“What is life?”, “What I really am?”). ”Hatch” in the true sense means to sit on the eggs, hiding them, as does a bird, respectively, as “incubation” means the permanent, silent and anxious at the same time thinking about what is the problem. All of these psychic phenomena include an attempt to resolve the emotional conflict with the thought, but a decision or conclusion of an individual escapes, and the process repeats again and again.

Compulsions and rituals are a constant and relentless desire to perform pointless actions, they act as motor obsessional thoughts and equivalent in obsessive-compulsive neurosis often accompany them. The latter is also characterized by magical thinking, indecision and doubt, a tendency to retreat, incoherence, detail, a tendency to postpone “for later”, to give up their words and repetition. A person suffering from such a neurosis, as a rule, knows that his actions and thoughts are inappropriate, but can not help it.

The symptoms of neurosis in a typical case arise because of the obsessive nature. This diagnostic theories can be classified as many types of personality: at one extreme of the continuum are organized, productive, conscientious, and hardworking individuals who are capable of thinking logically and implement their ideas, on the other, pathological – a person suffering from an acute illness with signs of pronounced obsessional character ( extreme pedantry, parsimony, obstinacy), which have obvious difficulties in thinking, incapable of constructive action in connection with the ambivalence, indecision and the tendency to put off “for later”.

The main conflicts in obsessive-compulsive neurosis, and the type of nature, implies a coming from the super-ego anxiety and guilt in connection with the phallic-oedipal impulses, affects and ideas, take the form of fantasy. There is protection from unacceptable fantasies, fantasies are formed as a result of conflict and the negative Oedipus complex.

Individual regresses to the anal-sadistic level, which only heightens the sense of guilt in the conflict between it and the superego, especially with regard to the anal-sadistic impulses. This conflict further increases magical thinking and many obsessional individuals consciously or unconsciously believe that desire means the commission, and thinking of something means to do so. That’s why obsessive neurosis is successfully called neurosis of guilt. Super-“I” behaves firmly against appropriate incentives, affects and representations. These conflicts are generated by “I”, along with defense mechanisms (especially isolation, displacement, intellectualization, reaction formation, and revocation) they lead to the compromise formations that appear in the neuroses and described traits.

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Posted in Mental Health
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