{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,21]],"date-time":"2026-10-21T16:11:46Z","timestamp":1792599106993,"version":"4.5.0"},"reference-count":24,"publisher":"SAGE Publications","issue":"2-3","license":[{"start":{"date-parts":[[2022,4,1]],"date-time":"2022-04-01T00:00:00Z","timestamp":1648771200000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"content-domain":{"domain":["journals.sagepub.com"],"crossmark-restriction":true},"short-container-title":["Annals of Neurosciences"],"published-print":{"date-parts":[[2022,4]]},"abstract":"<jats:p>Obsessive-compulsive disorder (OCD) is a disorder that is characterized by the presence of obsessions and compulsions. OCD can occur in a wide range of subtypes, which may include sexual OCD, i.e., the occurrence of intrusive sexual thoughts. People with sexual OCD may experience unwanted obsessive sexual thoughts about a family member, dead or inanimate objects, animals, God, or children, which can range from mild to severe levels of occurrence. The psychodynamic perspective on OCD suggests that the content of obsessive thinking is commonly drawn from primitivized sexuality and aggression. It further suggests that in the absence of key relationships that include emotional proximity, mirroring and containment, and attunement, a child experiences a void-like state. Consequently, the anxiety that arises in the child leads to a form of liveliness in a \u201cdead\u201d inner world. However, it occurs out of a sense of abandonment and loss of good objects, and ultimately out of fear of annihilation. As a result, the child resorts to maladaptive defense mechanisms. The study attempts to explore the adverse early childhood experiences such as parental neglect, mother\u2013father conflict, and lack of parental love and care leading to fixation in psychosexual stages of development, which further leads to the adoption of maladaptive defense mechanisms that in turn further contribute to the development of obsessional personality traits. This study aims to explain the psychodynamic perspective on the emergence of sexual obsessions by proceeding with a case study approach by taking a diagnosed case of OCD. A comprehensive psychodiagnostic assessment was conducted with the help of Draw-a-Person Test, Thematic Apperception Test, Rotter\u2019s Incomplete Sentence Blank, and Million\u2019s Comprehensive Multiaxial Inventory. The analysis of the assessment protocol revealed a strong relationship between the defense mechanism, personality traits, and the development of obsessive symptoms.<\/jats:p>","DOI":"10.1177\/09727531221115305","type":"journal-article","created":{"date-parts":[[2022,8,12]],"date-time":"2022-08-12T00:29:08Z","timestamp":1660264148000},"page":"159-165","update-policy":"https:\/\/doi.org\/10.1177\/sage-journals-update-policy","source":"Crossref","is-referenced-by-count":4,"title":["Psychodynamic Perspective of Sexual Obsessions in Obsessive-Compulsive Disorder"],"prefix":"10.1177","volume":"29","author":[{"given":"Sonam","family":"Chaudhary","sequence":"first","affiliation":[{"name":"Department of Psychology and Mental Health, Gautam Buddha University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anand Pratap","family":"Singh","sequence":"additional","affiliation":[{"name":"Department of Psychology and Mental Health, Gautam Buddha University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5416-0446","authenticated-orcid":false,"given":"Aakriti","family":"Varshney","sequence":"additional","affiliation":[{"name":"Department of Psychology and Mental Health, Gautam Buddha University, Greater Noida, Uttar Pradesh, India"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"179","published-online":{"date-parts":[[2022,8,11]]},"reference":[{"key":"bibr1-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr2-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1176\/appi.books.9780890425596"},{"key":"bibr3-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1016\/j.janxdis.2004.10.001"},{"key":"bibr4-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1001\/archpsyc.62.6.593"},{"key":"bibr5-09727531221115305","doi-asserted-by":"crossref","unstructured":"Wegner DM,  and Zanakos S. Chronic thought suppression.\n                      J Pers\n                      1994; 62(4): 616\u2013640, http:\/\/dx.doi.org\/10.1111\/j.1467-6494.1994.tb00311","DOI":"10.1111\/j.1467-6494.1994.tb00311.x"},{"key":"bibr6-09727531221115305","doi-asserted-by":"publisher","DOI":"10.12740\/PP\/112051"},{"key":"bibr7-09727531221115305","unstructured":"El-Shafie AM, El Lahony DM, El Latif ZOA, Draw-a-person test as a tool for intelligence screening in primary school children.\n                      Menoufia Med J\n                      2019; 32(1): 329, http:\/\/www.mmj.eg.net\/text.asp?2019\/32\/1\/329\/256131 (accessed July 21, 2022)."},{"key":"bibr8-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1080\/00221325.1977.10533293"},{"key":"bibr9-09727531221115305","unstructured":"Cherry K. Murray\u2019s theory of psychogenic needs.\n                      Verywell Mind\n                      2006, https:\/\/www.verywellmind.com\/murrays-theory-of-psychogenic-needs-2795952 Accessed July 21, 2022."},{"key":"bibr10-09727531221115305","doi-asserted-by":"crossref","unstructured":"Cramer P. Seven pillars of defense mechanism theory: supporting defense mechanism theory.\n                      Soc Personal Psychol\n                      Compass 2008; 2(5): 1963\u20131981, http:\/\/dx.doi.org\/10.1111\/j.1751-9004.2008.00135","DOI":"10.1111\/j.1751-9004.2008.00135.x"},{"key":"bibr11-09727531221115305","unstructured":"Obsessive Compulsive Disorder. Sicotests.com. https:\/\/www.sicotests.com\/darticle.asp\/page=199 Accessed July 21, 2022."},{"key":"bibr12-09727531221115305","doi-asserted-by":"crossref","unstructured":"Cooper S. Obsessional thinking-a defence against loss.\n                      Br J Psychother\n                      2000; 16(4): 412\u2013423, http:\/\/dx.doi.org\/10.1111\/j.1752-0118.2000.tb00537","DOI":"10.1111\/j.1752-0118.2000.tb00537.x"},{"key":"bibr13-09727531221115305","unstructured":"Dicaccavo A. Psychodynamic conceptualisation of obsessive thinking: An illustrative case study. Worktribe.com. https:\/\/uwe-repository.worktribe.com\/OutputFile\/1007729 Accessed July 21, 2022."},{"key":"bibr14-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.2008.08020320"},{"key":"bibr15-09727531221115305","doi-asserted-by":"publisher","DOI":"10.4324\/9780429473661-6"},{"key":"bibr16-09727531221115305","unstructured":"Mcleod S.\n                      Sigmund Freud\u2019s theories\n                      . 2013. https:\/\/www.simplypsychology.org\/Sigmund-Freud.html Accessed July 21, 2022."},{"key":"bibr17-09727531221115305","author":"Williams MT.","year":"2008","journal-title":"Homosexuality anxiety: A misunderstood form of OCD"},{"key":"bibr18-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1016\/S0005-7967(99)00049-2"},{"key":"bibr19-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1176\/appi.ajp.161.9.1665"},{"key":"bibr20-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1176\/ajp.150.8.1194"},{"issue":"2","key":"bibr21-09727531221115305","first-page":"207","volume":"2","author":"Dieuzeide P.","year":"1973","journal-title":"Ann Med Psychol (Paris)"},{"key":"bibr22-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1080\/00223891.2017.1298115"},{"key":"bibr23-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1177\/070674370605100702"},{"key":"bibr24-09727531221115305","doi-asserted-by":"publisher","DOI":"10.1521\/pdps.2014.42.3.377"}],"container-title":["Annals of Neurosciences"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09727531221115305","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/09727531221115305","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/09727531221115305","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T10:59:16Z","timestamp":1777373956000},"score":1,"resource":{"primary":{"URL":"http:\/\/journals.sagepub.com\/doi\/10.1177\/09727531221115305"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2022,4]]},"references-count":24,"journal-issue":{"issue":"2-3","published-print":{"date-parts":[[2022,4]]}},"alternative-id":["10.1177\/09727531221115305"],"URL":"https:\/\/doi.org\/10.1177\/09727531221115305","relation":{},"ISSN":["0972-7531","0976-3260"],"issn-type":[{"value":"0972-7531","type":"print"},{"value":"0976-3260","type":"electronic"}],"subject":[],"published":{"date-parts":[[2022,4]]}}}