Blacker K H, Abraham R
Int J Psychoanal Psychother. 1982;9:705-27.
Freud's case study of an obsessive young man, published in 1909, has provided the foundation for the psychoanalytic understanding of obsessive illness. Freud reported the case in Oedipal terms, viewing the patient's symptoms as arising from his fear of castration by his father as punishment for his sexual desires. Freud's working notes on the case, however, contain much material about the women in Lorenz's life not included in the published case or in Freud's formulation. Careful review of this data suggests that important aspects of Lorenz's obsessive disorder harken back to conflicts in his relationship with his mother. This reexamination of Freud's classical case suggests that these questions concerning the genesis of obsessive dynamics should be further explored.
弗洛伊德于1909年发表的对一名患有强迫症的年轻人的案例研究，为精神分析学对强迫症的理解奠定了基础。弗洛伊德用俄狄浦斯情结的术语来描述这个案例，认为患者的症状源于他对被父亲阉割的恐惧，这是对他性欲的惩罚。然而，弗洛伊德关于这个案例的工作笔记包含了许多关于洛伦兹生活中女性的材料，这些材料既未包含在已发表的案例中，也未包含在弗洛伊德的阐述中。对这些数据的仔细审视表明，洛伦兹强迫症的重要方面可追溯到他与母亲关系中的冲突。对弗洛伊德经典案例的这一重新审视表明，这些关于强迫性动力起源的问题应得到进一步探讨。
