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Under a psychoanalytic view, the etiological relevance of neurobiological modeis of obsessive-compulsive-disorder is discussed referring pharmacological and behavioral therapeutic options. From the beginnings of clinical psychoanalytic research, neurobiological correlates were considered for the understanding of obsessive-compulsive-disorder. However, within etiological psychoanalytic modeis those correlative biological markers have not the Status of monocausal independend variables. New biological findings regarding obsessive-compulsive-disorder can also be integrated in psychoanalytic concepts without renunciation of the significance of unconscious processes and an interaction oriented approach. Insight and Symptom oriented therapies are characterized with regard to necessary further research and to their complementary benefits.
Franz
M
M
Klinisches Institut für Psychosomatische Medizin und Psychotherapie der Heinrich-Heine-Universität, Moorenstr.5, 40225 Düsseldorf.
Neurobiologische und psychodynamische Aspekte der Zwangsneurose - ein Widerspruch?