[The question of the connection between obsessive-compulsive disorder and narcissism].
Freud's psychodynamic concept of the anal-sadistic regression in obsessive-compulsive neurosis is completed with the clinical observation of the structural ego deficit in connection with obsessive-compulsive disorder. Not being able to rely on one's own behaviour, described by Quint, for example, explains that the self-assessing function is lacking in the obsessive-compulsive patient. Such patients need the other person to acknowledge and confirm their behaviour as a self-object, i.e. as a part of his self. The aspect of the narcissistic bond of the obsessive-compulsive patient is emphasised here as a differentiation to the more superficial criteria of narcissism in the DSM-IV. The obsessive-compulsive symptomatology has the function to hold on to his self-object as no autonomy is available and loss of bond is experienced as loss of self. The relation of obsessive-compulsive disorder and narcissism is described on the basis of three case histories and supported by biographic and psychotherapeutic data. Furthermore attention is drawn to the consequences of this opinion for a modified psychodynamic therapeutical approach.
Bürgy
M
M
Psychiatrische Universitätsklinik Heidelberg.
D006801:Humans; D009289:Narcissism; D009771:Obsessive-Compulsive Disorder / Q000523:psychology*
Zur Frage des Zusammenhangs zwischen Zwangsstörung und Narzissmus.