This book explores the interrelatedness between obsessive compulsive disorders, thinking disorders, and depression. The issue is considered both from a psychiatric viewpoint and from a psychodynamic perspective. The age of the cases presented in the book ranges from childhood through adolescence to adulthood. Obsessions: The Twisted Cruelty is a challenging contribution to contemporary clinical debate, especially regarding the role of analytically-oriented psychotherapy in the treatment of OCD, and how to deal with the psychiatric treatment and combine the two approaches, while keeping the focus on the transference-countertransference interplay. After the first theoretical chapter, the relationship between obsessions and thinking impairments is discussed, with specific reference to delusional ideation. A section entitled "the anal conundrum" follows. Encopresis and anal masturbation during childhood are discussed, as well as the identification of the child with a maternal "faecal object. The last section explores the connection with depression, and some specific features of sadism.

part I|36 pages

Theory: Models and Perspectives

part II|121 pages

The Psychotic Threshold: OCD and Thinking Disorder

part III|33 pages

The Anal Conundrum

part |31 pages

Introduction to Part III

part IV|30 pages

The Depressive Threshold

part |28 pages

Introduction to Part IV

chapter Eleven|11 pages

Sonia: the king-size coffin—Imprisonment 1

chapter Twelve|14 pages

Fabio: the right to be furious—Imprisonment 2