Citation

Dietrich H. Schweiz. Arch. Neurol. Neurochir. Psychiatr. 1974; 115(2): 349-358.

Vernacular Title

Uber Spätschicksale anankastischer Psychopathen

Copyright

(Copyright © 1974, Orell Fussli)

DOI

unavailable

PMID

4469090

Abstract

Anancastic Psychopaths differ from obsessive compulsive neurotics as they fulfill the second part of Schneider's formula: They are people under whose abnormality society suffers. Their asocial or antisocial impulses are in the sphere of either indecency and perversions or in aggressive outbreaks. Special manifestations are: stubborness, irascibility; willful- and self-destruction; or tendencies of becoming sadistically dangerous to the public. Because of aggressive inhibition, secretivness and denial of instinctive impulses they carry on outwardly an uneventful life. In some cases around the age of 50 defence mechanism break down and there occur manifestation of symptoms. Well known late destinies of psychopaths (Kahn) are: saturation, pseudo victory, resignation and suicide. In this paper two new examples are added: signs of breakdwon of resources in life at an earlier age and divorce. Two cases of Anancastic Psychopaths illustrate the compulsive syndrome and the obligatory outcome of their destiny.

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