Also found in: Dictionary, Thesaurus, Medical, Legal, Wikipedia.



(obsessive states; anankastic state), ideas, memories, fears, and tendencies that arise persistently and irresistibly in human beings and are often distressing to the individual but are not accompanied by loss of ego. Actions, as well as thoughts, may be obsessive.

Obsessions are observed with neuroses and other diseases, but they are also encountered in healthy persons suffering from fatigue, for example. The patient acknowledges the pathological character of these phenomena, relates to them critically, and strives to rid himself of them. This distinguishes obsessions from delirium, which completely dominates the personality.

Patients often engage in fruitless arguments on banal topics (for example, why theearth is round), indulge in worthless philosophizing, or “rumination,” or spend time on purposeless counting (for example, of the steps of a staircase, the number of steps walked, or the number of street lights). Obsessional personalities frequently have thoughts that are in conflict with their actual feelings—for example, a loving mother may be obsessed with thoughts of harming children. They may experience torturous doubts concerning the correctness of their actions (for example—Did I turn off the gas? Did I lock the door?). As a result, they are driven to repeated verification of their actions. Fear is common in obsessive personalities (for example, fear of blushing in company, of forgetting a prepared speech, of falling ill, of dying, and even “fear of fear”—that is, fear that fear will arise). Patients are often drawn to but do not as a rule carry out absurd actions, such as plunging into water.

Often the patient seeks to overcome his obsessions by elaborating stereotypical “incantations” and preventive actions that are sometimes extremely complex (rituals). Basically, these only enrich the patient’s catalog of obsessions. The vocabulary of obsessions (anthropophobias, bacteriophobias, manias, and so forth) is extremely rich and includes more than 400 terms. There is no single point of view on the origin of obsessions. Treatment involves psychotherapy, especially when there is neurosis. Medication and general restorative treatment are also prescribed.


Sviadoshch, A. M. Nevrozy i ikh lechenie, 2nd ed. Moscow, 1971.


References in periodicals archive ?
On the other hand, I am terrified by the obsession crawling over my body whether it came from within me or from outside.
The main features of obsessions are that they are automatic, frequent, upsetting or distressing," she adds.
Common compulsions include excessive washing and cleaning, checking, repeatedly touching, counting, arranging and ordering, hoarding, ritualistic behaviours that lessen the chances of provoking an obsession (e.
The construct, obsession with Israel', is all-encompassing.
He said in the past, while living at a hostel, he had been "handled physically" by officers which had sowed the seeds of his anti-police obsession.
In order to trace back the condition of possibility of the metamorphosis of the lived world that occurs in persons with contamination obsessions, we direct our attention, rather than on symptoms or pathogenetic mechanisms, to first-personal experience, and more in detail to the way persons with contamination obsessions live space, time, and the materiality of things to obtain a faithful description of the world they live in.
Individuals with OCD tend to have an elevated disgust sensitivity with either the obsession or the focus of the obsession being the potential source of disgust which in turn may lead to compulsive urges to clean, neutralise or in some way reassure oneself that the threat no longer remains.
It was, he insisted, a museum of obsessions: "Where no obsessions are to be discerned.
These rituals are actually compulsions, repetitive behaviors that are responses to obsessions.
Static is reported from the Hubba encampment, where insiders relate of a drastic change in "Buffalo" Keith Cochrane's obsessions.
John Najemy's essay on Leon Battista Alberti's Della famiglia as a parody and a critique of Florentine obsessions with patrilineal succession drives a stake into the heart of the argument that Alberti shared the blatant misogyny of his least lovable interlocutors.
Let no doubt remain about this city's obsession with strange characters and dark obsessions.