Anxiety or neurosis: case report study
Abstract
Background: With the publication of the Diagnostic and Statistical Manual, Third Edition (DSM-III) in 1980, anxiety disorder was first identified as a diagnostic entity. A new theoretical approach regarding aetiology of anxiety disorders came next into the view, far from Freud’s psychoanalytical pathways. The consequences were new therapeutic guidelines, including psychopharmacotherapy and the use of behavioural and cognitive psychotherapy.
Methods: The paper presents a case report study of a patient with social phobia. The use of analytical oriented psychotherapy, which helped to resolve Axis I symptoms, is described.
Conclusions: In spite of new therapeutic guidelines there is still a certain population of patients with the need for psychoanalytical oriented psychotherapy. If we are to surrender the Freud’s legacy to the medical history, we will weaken psychiatry as a science and will narrow our therapeutic field.
Downloads
References
Sadock BJ, Sadock VA. Kaplan & Sadock’s synopsis of psychiatry. 9th ed. New York: Lippincott Williams & Wilkins; 2003.
Papp LA, Gorman JM. Generalized anxiety disorder. In: Kaplan HI, Sadock BJ, eds. Comprehensive textbook of psychiatry. 6th ed. Baltimore: Williams & Wilkins; 1995. p. 1236–49.
Andreasen NC, Black DW. Introductory textbook of psychiatry. 3rd ed. Arlington: American Psychiatric Publishing; 2001.
Taylor CB. Treatment of anxiety disorders. In: Schatzberg AF, Nemeroff CB, eds. Textbook of psychopharmacology. 2nd ed. Washington: American Psychiatric Press Inc; 1998. p. 775–89.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th Edition Revised. Washington: American Psychiatric Association; 2000.
Svetovna zdravstvena organizacija. Mednarodna klasifikacija bolezni in sorodnih zdravstvenih problemov za statistične namene: MKB-10. 10th ed. Vol. 1. Ljubljana: Inštitut za varovanje zdravja Republike Slovenije; 1995.
Mineka S, Yovel I, Pinels SL. Toward a psychological model of the etiology of generalized anxiety disorder. In: Nutt D, Rickels K, Stein DJ, eds. Generalized anxiety disorder. Symptomatology, pathogenesis and management. London: Martin Dunitz; 2002. p. 41.
Nutt DJ, Bailey JE. The neurobiology of generalized anxiety disorder. In: Nutt D, Rickels K, Stein DJ, eds. Generalized anxiety disorder. Symptomatology, pathogenesis and management. London: Martin Dunitz; 2002. p. 59– 69.
Lesch KP. Gene-environment interactions in generalized anxiety disorder. In: Nutt D, Rickels K, Stein DJ, eds. Generalized anxiety disorder. Symptomatology, pathogenesis and management. London: Martin Dunitz; 2002. p. 70–85.
Coupland NJ. Social phobia: etiology, neurobiology, and treatment. J Clin Psychiatry 2001; 62 Suppl 1: 25–35.
Van Ameringen M, Mancini C, Pipe B, Bennett M. Optimizing treatment in social phobia: a review of treatment resistance. CNS Spectr 2004; 9: 753–62.
Freud S. Inhibitions, symptoms and anxiety. In: Freud S. The standard edition of the complete psychological works of Sigmund Freud. Vol. XX. London: The Hogarth Press and The Institute of Psycho-analysis; 2001. p. 87– 168.
Freud S. The question of lay analysis. In: Freud S. The standard edition of the complete psychological works of Sigmund Freud. Vol. XX. London: The Hogarth Press and The Institute of Psycho-analysis; 2001. p. 194–224.
Freud S. Formulation on the two principles of mental functioning. In: Freud S. The standard edition of the complete psychological works of Sigmund Freud. Vol. XII. London: The Hogarth Press and The Institute of Psychoanalysis; 2001. p. 218–9.
Breuer J, Freud S. Studies on hysteria. In: Freud S. The standard edition of the complete psychological works of Sigmund Freud. Vol. II. London: The Hogarth Press and The Institute of Psycho-analysis; 2001. p. 21–47.
Kernberg OF. Schwere Persoenlichkeitsstoerungen: Theorie, Diagnose, Behandlungsstrategien. Stuttgart: J.G. Cotta’sche Buchhandlung Nachfolger GmbH; 1985.
Freud S. Short account of psycho-analysis. In: Freud S. The standard edition of the complete psychological works of Sigmund Freud. Vol. XIX. London, The Hogarth Press and The Institute of Psycho-analysis; 2001. p. 193–4.
Klein M. The psycho-analysis of children. London: Vintage; 1997.
The Author transfers to the Publisher (Zdravniški vestnik/Slovenian Medical Journal) all economic copyrights following form Article 22 of the Slovene Copyright and Related Rights Act (ZASP), including the right of reproduction, the right of distribution, the rental right, the right of public performance, the right of public transmission, the right of public communication by means of phonograms and videograms, the right of public presentation, the right of broadcasting, the right of rebroadcasting, the right of secondary broadcasting, the right of communication to the public, the right of transformation, the right of audiovisual adaptation and all other rights of the author according to ZASP.
The aforementioned rights are transferred non-exclusively, for an unlimited number of editions, for the term of the statutory
The Author can make use of his work himself or transfer subjective rights to others only after 3 months from date of first publishing in the journal Zdravniški vestnik/Slovenian Medical Journal.
The Publisher (Zdravniški vestnik/Slovenian Medical Journal) has the right to transfer the rights, acquired parties without explicit consent of the Author.
The Author consents that the Article be published under the Creative Commons BY-NC 4.0 (attribution-non-commercial) or comparable licence.
