Get Alert
Please Wait... Processing your request... Please Wait.
You must sign in to sign-up for alerts.

Please confirm that your email address is correct, so you can successfully receive this alert.

Article   |    
Paul Schilder
Am J Psychiatry 1938;94:1397-1416.
text A A A
PDF of the full text article.

1. Seven cases of obsession neurosis are presented in which definite organic signs were disclosed by neurological examination. These signs remind of symptoms observed in epidemic encephalitis. However, it is not probable that one deals in these cases with mild encephalitis, of the epidemic type. They may be due to constitutional factors and to early traumatic toxic and infectious processes.2. In two cases, the type of motility and activity hinted to similar organic factors. In other cases, the psychic symptomatology pointed to an underlying motor impulse disturbance.3. Compulsion neurosis cases of this type show a particular relation to numbers and counting. There is the tendency to iteration and compulsions based upon it. The attitude towards space is changed. The motor drives are in close relation to sadistic attitudes.4. Similar disturbances and a similar psychic symptomatology are present in the obsessions and compulsions observed in post encephalitic cases in which the organic change in the motor impulses is obvious.5. Organic factors influencing the state of consciousness may have an influence in some obsession neurotic cases.6. Psychotherapy has to consider the importance of the motor factors in compulsions and their relations to sadistic attitudes. They have to be appreciated in connection with the libidinous situation. In the majority of the cases treated, good results were obtained.

Abstract Teaser
Figures in this Article

Your Session has timed out. Please sign back in to continue.
Sign In Your Session has timed out. Please sign back in to continue.
Sign In to Access Full Content
Sign in via Athens (What is this?)
Athens is a service for single sign-on which enables access to all of an institution's subscriptions on- or off-site.
Not a subscriber?

Subscribe Now/Learn More

PsychiatryOnline subscription options offer access to the DSM-5 library, books, journals, CME, and patient resources. This all-in-one virtual library provides psychiatrists and mental health professionals with key resources for diagnosis, treatment, research, and professional development.

Need more help? PsychiatryOnline Customer Service may be reached by emailing PsychiatryOnline@psych.org or by calling 800-368-5777 (in the U.S.) or 703-907-7322 (outside the U.S.).




CME Activity

There is currently no quiz available for this resource. Please click here to go to the CME page to find another.
Submit a Comments
Please read the other comments before you post yours. Contributors must reveal any conflict of interest.
Comments are moderated and will appear on the site at the discertion of APA editorial staff.

* = Required Field
(if multiple authors, separate names by comma)
Example: John Doe

Related Content
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 12.  >
DSM-5™ Clinical Cases > Chapter 18.  >
Gabbard's Treatments of Psychiatric Disorders, 4th Edition > Chapter 31.  >
The American Psychiatric Publishing Textbook of Substance Abuse Treatment, 4th Edition > Chapter 1.  >
The American Psychiatric Publishing Textbook of Psychiatry, 5th Edition > Chapter 12.  >
Topic Collections
Psychiatric News
PubMed Articles