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OCD Example
Melvin Udall
DSM-IV
•Obsessions or compulsions•Individual has at one point realized that the obsessions or compulsions are excessive or unreasonable•Distressful, excessively time-consuming, or impairing of normal functioning•Symptoms not induced by a substance or another medical condition
Freud’s Perspective on “Obsessional Neurosis”
Inappropriate impulses of the id acting out and/or punishment of a harsh superego Origin: fixation at the anal stage of psychosexual
development ≈ Autonomy vs. Shame/Doubt
Contemporary Psychoanalytic Therapy
Ambivalent attachment styleambivalent sense of self Splitting defense mechanism
Perfectionism: accentuate the positive aspects of self and hide the negative
Therapist: transference/counter-transference corrective emotional experience Accept ambivalence
Contemporary Psychoanalytic Therapy (cont.)
Unconscious meaning attached to symptoms Example:
cleaning obsessed son