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Obsessive-compulsive existential type: a dialectical-phenomenological approach
Lívia Fukuda1, Melissa Tamelini2, Guilherme Messas1,3
1Faculdade de Ciências Médicas da Santa Casa de São Paulo, São Paulo, Brazil.
This study introduces the "obsessive-compulsive existential type," reframing obsessive-compulsive disorder (OCD) through a phenomenological lens. It explores the existential imbalance between self-diluting and self-unifying forces in OCD patients.
Area of Science:
- Phenomenological Psychopathology
- Existential Psychology
- Clinical Psychology
Background:
- Current biological and cognitive paradigms for obsessive-compulsive disorder (OCD) face criticism for methodological limitations and theoretical biases.
- Existing psychopathological studies offer a foundation for exploring the anthropological dimensions of obsessive-compulsive conditions.
- Classical phenomenological work highlights a negative transformation in the obsessive-compulsive life-world, termed the 'anti-eidos'.
Purpose of the Study:
- To propose a complementary approach to understanding obsessive-compulsive disorder by developing a dialectical phenomenological framework.
- To introduce and define the
- obsessive-compulsive existential type
- as a novel conceptualization.
- To analyze the existential dialectic between 'anti-eidos' (diluting force) and 'eidos' (unifying force) in this condition.
Main Methods:
- Drawing on and extending classical phenomenological research on obsessions.
- Developing the concept of 'anti-eidos' and its dialectical relationship with 'eidos'.
- Analyzing anthropological disproportions and structural imbalances in the obsessive-compulsive existential type.
Main Results:
- The 'obsessive-compulsive existential type' is characterized by the supremacy of 'anti-eidos' over 'eidos', leading to structural imbalances.
- These imbalances manifest as polymorphic temporality, weakened intentionality, altered self-world distance, a besieged self, and tense embodiment.
- Compensatory hyperreflexivity and rituals are analyzed as structural counterbalancing mechanisms.
Conclusions:
- Heterogeneous clinical manifestations of OCD result from primary structural alterations and subsequent phenomenological compensations.
- The proposed framework offers a new perspective on the variability and complexity of obsessive-compulsive presentations.
- This approach may inform future scientific research and therapeutic interventions for obsessive-compulsive conditions.
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