Análisis de la estructura neurótica obsesiva, trastornos relacionados y dirección de la cura

Abstract

This essay aims to analyze the obsessive neurotic clinical structure in order to propose a possible cure from psychoanalysis, describing the characteristics of osbessive neurosis, identifying the related pathologies from the diagnostic manuals and conceptualizing the cure. This research work has a qualitative approach of descriptive type, with a methodology based on bibliographic review. People with obsessive structure have a fixation in the anal phase, in this psychosexual stage of childhood where poor sphincter control is related to shame, guilt, disgust and sadism. The obsessive neurosis is produced from a sexual traumatic event of childhood origin where the subject has an active participation. The features that differentiate obsessives are guilt, order, rationalization, doubt and love-hate ambivalence, in addition to obsessive reproaches and prohibitions. The symptomatology of obsessive-compulsive disorders and obsessive personality disorder have similarities with the characteristics of the obsessive structure. Psychoanalysis seeks subjective rectification based on transference, free association of ideas and floating attention that are the key to unveil the unconscious, without reaching a complete cure, seeking self-knowledge in analysis that is unique to each individual.