This book explores the interrelatedness between obsessive compulsive disorders thinking disorders and depression. The issue is considered both from a psychiatric viewpoint and from a psychodynamic perspective. The age of the cases presented in the book ranges from childhood through adolescence to adulthood. Obsessions: The Twisted Cruelty is a challenging contribution to contemporary clinical debate especially regarding the role of analytically-oriented psychotherapy in the treatment of OCD and how to deal with the psychiatric treatment and combine the two approaches while keeping the focus on the transference-countertransference interplay. After the first theoretical chapter the relationship between obsessions and thinking impairments is discussed with specific reference to delusional ideation. A section entitled the anal conundrum follows. Encopresis and anal masturbation during childhood are discussed as well as the identification of the child with a maternal faecal object. The last section explores the connection with depression and some specific features of sadism. |Obsessions The Twisted Cruelty | Mental Health