ABSTRACT

Chapter 14 originated when one psychiatrist from each Canadian medical school was selected to present a case for publication in the Canadian Journal of Psychiatry. The patient’s presenting complaint was inability to decide on a name for her child. I use this case to demonstrate how a psychoanalytic understanding of a patient enhances formulation of the patient’s problems, and offers a rational approach to the psychotherapeutic aspects of management. In a theoretical digression, the contemporary relevance of the Oedipus complex is described, and how difficulties related to this may be accompanied by a disturbance of thinking.