The Obsessive Compulsive Syndrome as a Neurotic Device for the Reduction of Self-uncertainty

In 1957, Lewis, writing about obsessional neurotic illness, stated: ‘There has been no marked increase in our state of knowledge of it in recent years, and indeed much of what can be found on the subject in current textbooks had already been fully stated and closely discussed in the first two decades of this century ….’ A recurrent theme in the literature is the supposed relationship between obsessional neurotic illness and ‘obsessional’ character traits. The psychoanalytic view that there is a strong association between obsessional symptoms and the ‘anal’ character traits was disputed by Lewis (1935). He found little evidence to support the existence of a well-marked constellation of character traits, or of a relationship between ‘obsessional’ traits and obsessional neurotic illness. Sandler and Hazari (1960) gave supportive evidence for the psychoanalytic view, but Reed (1970) doubted whether their conclusions were justified by the findings. Makhlouf-Norris (1968) summarized the literature in fourteen points, two of which are outlined below.