• Miloš Židanik Zdravstveni dom dr. Adolfa Drolca Maribor Sodna ulica 9 2000 Maribor
Keywords: psychotherapy, narcissistic personality disorder, aggression, obsessive-compulsive disorder, multiaxial assessment


Background. Obsessions are one of the most refractory psychiatric disorders. The therapeutic guidelines include a psychopharmacotherapy and the use of behavioural and supportive psychotherapy.

Methods. This case report study presents a patient with a homicide obsessions at the forefront and narcissistic personality disorder in background. The use of analytical oriented psychotherapy, which helped to resolve axis-1 symptoms, is described.

Conclusions. In the therapy of patients it is important to have the knowledge about the national therapeutic guidelines and critical distance toward them as well. Which therapy to use should be decided by the individual patient’s needs.


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American Psychiatric Association. Diagnostic and statistical manual of mental disorders. 4th Edition Text Revision. Washington: American Psychiatric Association, 2000.

Rasmussen SA, Eisen JL. Epidemiology and clinical features of obsessivecompulsive disorder. In: Jenike MA, Baer L, Minichiello WE eds. Obsessivecompulsive disorders: Theory and management. 3rd ed. St. Louis: Mosby, 1998: 12–43.

Rasmussen S, Eisen J. Phenomenology of OCD: Clinical subtypes, heterogeneity and coexistence. In: Nohar J, Insel T, Rasmussen S eds. The psychobiology of obsessive-compulsive disorder. New York: Springer, 1991.

Karno M, Golding JM, Sorenson SB, Burnam MA. The epidemiology of obsessive-compulsive disorder in five US communities. Arch Gen Psychiatry 1988; 45: 1094–9.

Pauls DL. The genetics of obsessive compulsive disorder and Gilles de la Tourette’s syndrome. Psychiatr Clin North Am 1992; 15: 759–66.

Jenike MA, Baer L, Greist JH. Clomipramine versus fluoxetine in obsessivecompulsive disorder: a retrospective comparison of side effects and efficacy. J Clin Psychopharmacol 1990; 10: 122–4.

Singer HS, Reiss AL, Brown JE et al. Volumetric MRI changes in basal ganglia of children with Tourette’s syndrome. Neurology 1993; 43: 950–6.

Turgeon L, O’Connor KP, Marchand A et al. Recollections of parent-child relationships in patients with obsessive-compulsive disorder and panic disorder with agoraphobia. Acta Psychiatr Scand 2002; 105: 310–6.

Lochner C, du Toit PL, Zungu-Dirwayi N et al. Childhood trauma in obsessive-compulsive disorder, trichotillomania and controls. Depression Anxiety 2002; 15: 66–8.

Abramowitz J, Moore K, Carmin C et al. Acute onset of obsessive-compulsive disorder in males following childbirth. Psychosomatics 2001; 42: 429–31.

Eisen JL, Beer DA, Pato MT, Venditto TA, Rasmussen SA. Obsessive-compulsive disorder in patients with schizophrenia or schizoaffective disorder. Am J Psychiatry 1997; 154: 271–3.

Ohta M, Kokai M, Morita Y. Features of obsessive-compulsive disorder in patients primarily diagnosed with schizophrenia. Psychiatry Clin Neurosci 2003; 57: 67–74.

Rasmussen SA, Eisen JL. The epidemiology and differential diagnosis of obsessive compulsive disorder. J Clin Psychiatry 1994; 55: 5–10.

Overbeek T, Schruers K, Vermetten E, Griez E. Comorbidity of obsessivecompulsive disorder and depression: prevalence, symptom severity and treatment effect. J Clin Psychiatry 2002; 63: 1106–12.

Phillips KA. The obsessive-compulsive spectrums. Psychiatr Clin North Am 2002; 25: 791–809.

Kaplan PM, Sadock VA. Synopsis of Psychiatry. 7th ed. Baltimore: Williams & Wilkins, 1994: 605–5.

Andreasen NC, Black DW. Introductory textbook of psychiatry. 3rd ed. Washington: American Psychiatric Publishing, 2001: 347–61.

Kernberg OF. Schwere Persoenlichkeitsstoerungen. Teorie, Diagnose und Behandlungsstrategie. Stuttgart: J. G. Cotta’sche Buchhandlung Nachfolger GmbH, 1985: 261–330.

Freud S. Očrt psihoanalize. Ljubljana: Društvo za teoretsko psihoanalizo, 2000.

Yalom DI. Der Panama-Hut oder Was einen guten Therapeuten ausmacht. Muenchen: Wilhelm Goldmann Verlag, 2002.

Ziherl S. Osebnostne motnje. In: Tomori M, Ziherl S. Psihiatrija. Ljubljana: Medicinska fakulteta Univerze v Ljubljani, 1999: 292–301.

How to Cite
Židanik M. OBSESSIONS: CASE REPORT STUDY. ZdravVestn [Internet]. 1 [cited 3Apr.2020];73(1). Available from: https://vestnik.szd.si/index.php/ZdravVest/article/view/2245
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