The metaphorical, the metonymical and the psychotic aspects of obsessive symptomatology

Int J Psychoanal. 2016 Apr;97(2):259-80. doi: 10.1111/1745-8315.12442. Epub 2015 Nov 25.

Abstract

This paper is an attempt to suggest an integrative formulation of obsessive symptomatology, based on the integration of Lacanian and object-relations points of view. This formulation manifests a singular interaction between three aspects of obsessive symptomatology, which I call "the metaphorical aspect", "the metonymical aspect" and "the psychotic aspect", and which are intertwined with a varying degree of dominance. The singular interaction between them has crucial influence on the capacity for symbolization and reflection, and therefore has immense implications concerning analytical work. The theoretical formulation will be followed by a detailed analytical illustration.

Keywords: excess; metaphor; metonymy; obsessive symptomatology; psychosis.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Female
  • Humans
  • Metaphor
  • Obsessive-Compulsive Disorder / psychology*
  • Psychoanalytic Theory*
  • Psychoanalytic Therapy / methods*
  • Psychotic Disorders / psychology*