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Essay text:
As Evan tearfully told
me, "You know, most kids don't have to do these things."
Ever since Freud (1909) described his treatment of a patient he
called the "Rat Man," psychoanalysis has been fascinated by obsessive-
compulsive symptomatology. Children suffering from similar
symptoms were reported as early as 1922 (Sokolnicka) and 1924
(Hitschmann). In Freud's attempt to understand the psychic determinants
of the crippling symptoms of the Rat Man, he emphasized the
role of early, perhaps traumatic, sexual exposure and overstimulation;
the failure to resolve oedipal conflicts and the subsequent regression
to anal-sadistic conflicts; the central role of ambivalence; and the
importance of defenses such as reaction formation, intellectualization,
isolation, and undoing (A...
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