 |
|
Paranoid State—Theory and Therapy
LEON SALZMAN, M.D.
AMA Arch Gen Psychiatry 1960;2(6):679-693.
|
|
| Since this article does not have an abstract, we have provided the first 150 words of the full text PDF and any section headings. |
|
|
|
The dynamics of paranoia and the paranoid state were inextricably involved with sexual pathology through Freud’s brilliant recognition of the relationship of paranoia and repressed homosexual drives. He said:
We shall therefore, I think, raise no further objections to the hypothesis that the exciting cause of the illness of Schreber was the appearance in him of a feminine, that is, passive, homosexual, wishful phantasy which took as its object the figure of his doctor (Fleschig).1
While his formulation was fruitful in understanding many aspects of the delusional formation, it was of limited value in helping us to comprehend the dynamics of the paranoid process or its refractory nature in therapy. Recent investigations of homosexuality, both latent and overt, and other studies in paranoia and paranoid states (Rado, Robbins, Ovesey, Sullivan, Salzman, and others)4-10 have thrown new light on this malignant disorder. I do not intend
. . . [Full Text PDF of this Article]
Author Affiliations
Washington, D.C.
Footnotes
Submitted for publication January 22, 1960.
Lionel Ovesey, in a scholarly review of the problem of homosexuality and the paranoid mechanism,6,7 emphasizes that the "paranoid phenomena can stem from nonsexual adaptations to societal stimuli and motivationally have nothing to do with homosexuality whatsoever." He feels constrained, however, to develop the concept of paranoia from Freud’s original grouping of delusions of persecution, erotomania, delusions of jealousy, and megalomania. A very useful review and analysis of Freud’s idea are contained in this paper.
 CiteULike  Connotea  Del.icio.us  Digg  Reddit  Technorati  Twitter
What's this?
|
