On the Nature of Obsessions and Compulsions
On the Nature of Obsessions and Compulsions
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DOI：
10.1159/000351929
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发表时间：
2013-01-01
期刊：
影响因子：
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通讯作者：
Denys, Damiaan
中科院分区：
文献类型：
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作者：
de Haan, Sanneke;Rietveld, Erik;Denys, Damiaan
在本章中，我们概述了当前和历史上关于强迫观念和强迫行为本质的概念。我们讨论一些与强迫症的情感、意志或情感本质的首要性有关的悬而未决的问题。此外，我们添加了一些我们自己的现象学建议。我们特别指出患者对绝对确定性的需求以及这种需求背后缺乏信任。基于维特根斯坦的见解，我们认为患者所追求的那种确定性原则上是无法通过获取事实知识来获得的。此外，我们认为，患者寻求确定性的尝试会适得其反，因为他们过度的意识控制实际上破坏了他们所需的信任。版权所有 (C) 2013 S. Karger AG，巴塞尔
In this chapter, we give an overview of current and historical conceptions of the nature of obsessions and compulsions. We discuss some open questions pertaining to the primacy of the affective, volitional or affective nature of obsessive-compulsive disorder. Furthermore, we add some phenomenological suggestions of our own. In particular, we point to the patients' need for absolute certainty and the lack of trust underlying this need. Building on insights from Wittgenstein, we argue that the kind of certainty the patients strive for is unattainable in principle via the acquisition of factual knowledge. Moreover, we suggest that the patients' attempts to attain certainty are counterproductive as their excessive conscious control in fact undermines the trust they need. Copyright (C) 2013 S. Karger AG, Basel