ABSTRACT

There are three major clinical conditions, obsessive-compulsive disorder (OCD), major affective disorder, and anorexia ner vosa, all of which may respond favorably to biogenic amine reuptake blockade. Sure enough, Glen Just was rebellious; Martin Hoskins, whose case is described below, has severe anger management problems and so did his father, his uncle, and his grandfather, but none of the other Hoskins men is bothered by OCD. The most clear and concise causal model in OCD is that a propensity to obsession and compulsion is natural and universal. An intrinsic obsessionalism is even more evident in sleep when sleep is associated with EEG slow waves and fewer eye movements than in the brain-activated state of REM sleep. According to protoconsciousness theory, it is these symptoms that are released from REM and are, thus, responsive to the wake state enhancement and REM suppressant effects of brain biogenic amine enhancement. OCD condition is entirely compatible with protoconsciousness theory and with psychodynamic neurology.