From obsessional neurosis to obsessive and compulsive disorders?

Authors
Citation
G. Pirlot, From obsessional neurosis to obsessive and compulsive disorders?, EVOL PSYCH, 63(3), 1998, pp. 433-450
Citations number
33
Categorie Soggetti
Psychiatry
Journal title
EVOLUTION PSYCHIATRIQUE
ISSN journal
00143855 → ACNP
Volume
63
Issue
3
Year of publication
1998
Pages
433 - 450
Database
ISI
SICI code
0014-3855(199807/09)63:3<433:FONTOA>2.0.ZU;2-C
Abstract
Faced with notion of obsessive disorders which under the spotlights of the media reveals the post-modern psychiatric anomy, the so called author recal ls the traditional notions concerning obsessional symptoms and those relate d to the concept of primary anality (A. Green) a useful concept for the und erstanding of so called borderline states, character neuroses and psychosom atic pathologies. If in Freud's time the attention was placed on constraint neurosis (Zwang), on anal fixations, castration anguish it appears today i n view of recent research that the so called obsessional symptom turns out to be a defence against the 'void of thought' and against a so called psych otic drift of thought: obsession brings thought back to the investment of t he process of thought itself, hence beyond affect which is linked to repres entation. Our theory will bear on the clinical study of the adverbial language of a y oung schizophrenic person. With him the continuous use of the adverb tried to abolish the action which had prevailed in the subject's birth. One will recall that the adverb is a sexless, invaluable, neutral, word which is onl y used to add a determination to a word. Beyond this clinical case it is on ly from the analytic conception that one can understand how any failure of "primary anality", through a decrease of vital energy which it may entail c an legitimate the wider frame of "obsessional states" or of O.C.D. Once mor e psychoanalysis thanks to its so called transnosographic nature is the onl y theoretical and heuristic construction allowing us to understand the link s between deep narcissistic identity wounds, often difficult counter transf erence processes and obsessional or character defence in front of the colla pse, the inner chaos. Besides this metapsychological point of view of the O .C.D, in no way excludes any kind of nonsensical biochemical thinking about these disorders.