Obsessional phenomena and the concept of intentionality.

Obsessional phenomena exist in a variety of character types. The particular phenomena may be of limited value in total personality assessment. Some speculative links are made between obsessional phenomena and preanal developmental steps. It is suggested that the concept of intentionality of thought and action be examined in these patients to distinguish obsessionals with core conflicts that are primarily neurotic and triadic, from those with more significant, earlier difficulty in the oral period. The concept of intentionality is related to self-object distinction, the use of projections, the sense of self, pathologic ego-superego condensation, and the existence of the ability to tolerate and recognize aggressiveness within. More accurate and rapid diagnostic distinction among obsessionals has implications for different treatment approaches.