Actual Neurosis as the Underlying Psychic Structure of Panic Disorder, Somatization, and Somatoform Disorder
An Integration of Freudian and Attachment Perspectives
Bibliographic Data
| ID | 9230680 |
|---|---|
| Authors | Paul Verhaeghe (Ghent University, corresponding author), Stijn Vanheule (0000-0001-8580-5809, Building Engineering and Science Talent, corresponding author), Ann Rick, Ann De Rick |
| Year | 2007 |
| Volume | 76 |
| Issue | 4 |
| Pages | 1317-1350 |
| Publication date | 2007-10-01 |
| Peer Reviewed | Yes |
| Open Access | Yes |
| Type | ARTICLE |
| Venue | The Psychoanalytic Quarterly (JOURNAL) |
| Journal identifiers | ISSN: 0033-2828 • E-ISSN: 2167-4086 |
| Publisher | Informa UK Limited (PUBLISHER • GB) |
| DOI | 10.1002/j.2167-4086.2007.tb00306.x |
| PMID | 18085013 |
| OpenAlex | W1981148016 |
| Language | EN |
| Citations received | 6 |
| References cited | 46 |
Starting from a contemporary critique of the DSM-IV, this paper argues that the diagnostic categories of panic disorder somatization, and undifferentiated somatoform disorders can be understood as belonging to a common type of psychopathology--i.e., the Freudian actual neuroses. In addition to their strong clinical similarity, these disorders share an etiological similarity; and the authors propose a combination of Freud's focus on this type of patient's inability to represent an endogenous drive arousal with the post-Freudian focus on separation anxiety. An etiological hypothesis is put forward based on contemporary psychoanalytic attachment theory, highlighting mentalization. Concrete implications for a psychoanalytically based treatment are proposed
Anxiety · Freudian slip · Freudian theory · Neurosis · Panic · Panic disorder · Psychiatry · Psychic · Psychoanalysis · Psychoanalytic theory · Psychotherapist · Somatization · Somatization disorder · Anxiety, Depression, Psychometrics, Treatment, Cognitive Processes · Medicine · Mental Health and Psychiatry · Psychology · Psychosomatic Disorders and Their Treatments
Posttraumatic stress disorder (PTSD), actual pathology, and the question of representability
Panic Disorder as Unthinkable Emotions
Impaired self-reflection in psychiatric disorders among adults
A Model for Integrating Actual Neurotic or Unrepresented States and Symbolized Aspects of Intrapsychic Conflict
Unrepresented states and the challenge of historicization
The Subject in an Uproar
The Prevalence of ‘Alexithymic’ Characteristics in Psychosomatic Patients
Recent Developments in Alexithymia Theory and Research
Actual neurosis and PTSD
Attachment Theory
Somatization and Conversion
Toward an Understanding of Unmentalized Experience
When Words Fail
Inhibitions, Symptoms and Anxiety
Actual neurosis’ and psychosomatic medicine
Playing With Reality
The Development and Organization of Attachment
An Investigation of Anxious Thought in Patients With Dsm-Iv Agoraphobia / Panic Disorder
A New Language for Psychoanalytic Diagnosis
Unconscious Pregnancy Fantasies as an Underlying Dynamism in Panic Disorder
The Organized Categories of Infant, Child, and Adult Attachment
Mentalization and the changing aims of child psychoanalysis
| Unique citing works | 6 |
|---|---|
| Citations per year | 0,33 |
| Citation span | 2008 - 2020 (13) |
| Citation velocity | historical |
| Highly cited | No |
| Citation types | Neutral: 5 |