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Obsessional neurosis

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{{Top}}névrose obsessionnelle{{Bottom}}
 
==Diagnosis==
==A Diagnostic Category==
==Sigmund Freud==
"[[Obsessional neurosis]]" ([[Fr]]. ''[[névrose obsessionnelle]]'') was first developed as a diagnostic category by [[Sigmund Freud]] in 1894.===Symptoms===
[[Obsessional neurosis]] was first developed as a diagnostic category by [[Sigmund Freud]] in 1894.
===Obsessional Symptoms===
In doing so, [[Freud]] grouped together as one condition a series of [[symptom]]s which had been described long before but which had been linked with a variety of different diagnostic categories.<ref>Laplanche and Pontalis. 1967. p.281-2</ref>
These [[symptom]]s include obsessions (recurrent ideas), impulses to perform actions which seem absurd and/or abhorrent to the [[subject]], and '"rituals' (compulsively repeated actions such as checking or washing). [[Freud]] grouped together as one condition a series of [[symptom]]s, which include:* obsessions (recurrent ideas), * impulses to perform actions which seem absurd and/or abhorrent to the subject, and * 'rituals' " (compulsively repeated actions such as checking or washing).
==Jacques Lacan==
Which ===Structure===While [[Lacan]] also sees these [[symptom]]s as typical of [[obsessional neurosis]], he argues that [[obsessional neurosis]] designates not a set of [[symptom]]s but an underlying [[structure]] which may or may not manifest itself in the [[symptom]]s typically associated with it.
Thus the [[subject]] may well exhibit none of the typical obsessional [[symptom]]s and yet still be diagnosed as an [[obsessional neurotic]] by a [[Lacan]]ian [[analyst]].
For [[Lacan]], the term "[[obsessional neurosis]]" denotes not a set of [[symptom]]s but an underlying [[structure]] -- which may or may not manifest itself in the [[symptom]]s typically associated with it.
 
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==Neurosis==
Following [[Freud]], [[Lacan]] classes [[obsessional neurosis]] as one of the main forms of [[neurosis]].
===Question of Existence===
In 1956, [[Lacan]] develops the idea that, like [[hysteria]], [[obsessional neurosis]] is essentially a question which [[being]] poses for the [[subject]].<ref>{{S3}} p.179-80</ref>
The question which constitutes [[obsessional neurosis]] concerns the contingency of one's [[existence]] (which also testifies to the special burden of [[guilt]] felt by the [[obsessional]]); the [[obsessional]] performs some compulsive ritual because he thinks that this will enable him to escape the [[lack]] in the [[Other]], the [[castration]] of the [[Other]], which is often represented in [[fantasy]] as some terrible disaster.
-===Example of Rat Man===
For example, in the case of one of [[Freud]]'s [[obsessional neurotic]] [[patient]]s, whom [[Freud]] nicknamed the [[Rat Man]], the [[patient]] had developed elaborate rituals which he performed to war off the [[fear]] of a terrible punishment being inflicted on his [[father]] or on his beloved.<ref>[[Freud|Freud, Sigmund]]. 1909d.</ref>
===Structure of Religion===
These rituals, both in their form and content, led [[Freud]] to draw parallels between the [[structure]] of [[obsessional neurosis]] and the [[structure] of [[religion]], parallels which [[Lacan]] also notes.
 --===Sexual Position==
Whereas the [[hysterical]] question concerns the [[subject]]'s [[sexual position]] ("Am I a [[man]] or a [[woman]]?"), the [[obsessional neurotic]] repudiates this question, refusing both sexes, calling himself neither [[male]] nor [[female]]:
<blockquote>"The obsessional is precisely neither one [sex] nor the other - one may also say that he is both at once."<ref>{{S3}} p.249</ref></blockquote>
--===Attitude to Time===
[[Lacan]] also draws attention to the way that the [[obsessional neurotic]]'s question about [[existence]] and [[death]] has consequences for his attitude to [[time]].
This attitude can be one of perpetual hesitation and procrastination while waiting for [[death]],<ref>{{E}} p.99</ref> or of considering oneself immortal because one is already [[dead]].<ref>{{S3}} p.180</ref>
--===Guilt and Anal Eroticism===
Other features of [[obsessional neurosis]] which [[Lacan]] comments on are the sense of [[guilt]], and the close connection with anal eroticism.
In respect of the latter, [[Lacan]] remarks that the [[Obsessional neurosis|obsessional neurotic ]] does not only trnsform transform his shit into gifts and his gifts into shit, but also transforms himself into shit.<ref>{{S8}} p.243</ref> 
==See Also==
* [[Death]]
* [[Existence]]
* [[Hysteria]]
* [[Religion]]
* [[Symptom]]
* [[Structure]]
[[Category:Psychoanalysis]]
[[Category:Sexuality]]
[[Category:Treatment]]
[[Category:Practice]]
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