Neurosis: Wikis

  

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Neurosis is a class of functional mental disorders involving distress but neither delusions nor hallucinations, where behavior is not outside socially acceptable norms.[1] It is also known as psychoneurosis or neurotic disorder, and thus those suffering from it are said to be neurotic. Once a common psychiatric diagnosis, the term is no longer part of mainstream psychiatric terminology in the United States, though it continues to be employed in psychoanalytic theory and practice, and in various other theoretical disciplines.

Contents

History and use of the term

Neurosis was coined by the Scottish doctor William Cullen in 1769 to refer to "disorders of sense and motion" caused by a "general affection of the nervous system." For him, it described various nervous disorders and symptoms that could not be explained physiologically. It derives from the Greek word neuron (nerve) with the suffix -osis (diseased or abnormal condition). The term was however most influentially defined by Carl Jung and Sigmund Freud over a century later. It has continued to be used in contemporary theoretical writing in psychology and philosophy.[2]

The American Diagnostic and Statistical Manual of Mental Disorders (DSM) has eliminated the category of Neurosis, reflecting a decision by the editors to provide descriptions of behavior as opposed to hidden psychological mechanisms as diagnostic criteria.[3], and, according to The American Heritage Medical Dictionary, it is "no longer used in psychiatric diagnosis."[4] These changes to the DSM have been highly controversial.[5]

Psychoanalytical account of neurosis

As an illness, neurosis represents a variety of mental disorders in which emotional distress or unconscious conflict is expressed through various physical, physiological, and mental disturbances, which may include physical symptoms (e.g., hysteria). The definitive symptom is anxieties. Neurotic tendencies are common and may manifest themselves as depression, acute or chronic anxiety, obsessive-compulsive tendencies, specific phobias, such as social phobia, arachnophobia or any number of other phobias, and even personality disorders, such as borderline personality disorder or obsessive-compulsive personality disorder. It has perhaps been most simply defined as a "poor ability to adapt to one's environment, an inability to change one's life patterns, and the inability to develop a richer, more complex, more satisfying personality."[6] Neurosis should not be mistaken for psychosis, which refers to loss of touch with reality, or neuroticism, a fundamental personality trait according to psychological theory.

According to psychoanalytic theory, neuroses may be rooted in ego defense mechanisms, but the two concepts are not synonymous. Defense mechanisms are a normal way of developing and maintaining a consistent sense of self (i.e., an ego), while only those thought and behavior patterns that produce difficulties in living should be termed neuroses.

Effects and symptoms

There are many different specific forms of neurosis: pyromania, obsessive-compulsive disorder, anxiety neurosis, hysteria (in which anxiety may be discharged through a physical symptom), and a nearly endless variety of phobias. According to Dr. George Boeree, effects of neurosis can involve:

...anxiety, sadness or depression, anger, irritability, mental confusion, low sense of self-worth, etc., behavioral symptoms such as phobic avoidance, vigilance, impulsive and compulsive acts, lethargy, etc., cognitive problems such as unpleasant or disturbing thoughts, repetition of thoughts and obsession, habitual fantasizing, negativity and cynicism, etc. Interpersonally, neurosis involves dependency, aggressiveness, perfectionism, schizoid isolation, socio-culturally inappropriate behaviors, etc.[6]

Jung's theory of neurosis

Carl Jung found his approach particularly fitting for people who are successfully adjusted by normal social standards, but who nevertheless have issues with the meaning of their life.

I have frequently seen people become neurotic when they content themselves with inadequate or wrong answers to the questions of life (Jung, [1961] 1989:140).

The majority of my patients consisted not of believers but of those who had lost their faith (Jung, [1961] 1989:140).

[Contemporary man] is blind to the fact that, with all his rationality and efficiency, he is possessed by "powers" that are beyond his control. His gods and demons have not disappeared at all; they have merely got new names. They keep him on the run with restlessness, vague apprehensions, psychological complications, an insatiable need for pills, alcohol, tobacco, food – and, above all, a large array of neuroses. (Jung, 1964:82).

Jung found that the unconscious finds expression primarily through an individual’s inferior psychological function, whether it is thinking, feeling, sensing, or intuition. The characteristic effects of a neurosis on the dominant and inferior functions are discussed in Psychological Types.

Jung saw collective neuroses in politics: "Our world is, so to speak, dissociated like a neurotic" (Jung, 1964:85).

References

  1. ^ neurosis at Dorland's Medical Dictionary
  2. ^ Russon, John (2003). Human Experience: Philosophy, Neurosis, and the Elements of Everyday Life. State University of New York Press. ISBN 0791457540.  See also Kirsten Jacobson, (2006), "The Interpersonal Expression of Human Spatiality: A Phenomenological Interpretation of Anorexia Nervosa," Chiasmi International 8, pp 157-74.
  3. ^ Horwitz and Wakefield (2007). The Loss of Sadness. Oxford. ISBN 9780195313048. 
  4. ^ The American Heritage Medical Dictionary. Houghton Mifflin. 2007. ISBN 9780618824359. 
  5. ^ Wilson, Mitchell, (1993), "DSM-III and the Transformation of American Psychiatry: A History". The American Journal of Psychiatry, 150,3, pp 399-410.
  6. ^ a b Boeree, Dr. C. George (2002). "A Bio-Social Theory of Neurosis". http://webspace.ship.edu/cgboer/genpsyneurosis.html. Retrieved 2009-04-21. 

Further reading

  • Fenichel, Otto. (1945) The Psychoanalytic Theory of Neurosis. New York: Norton Publishing Company.
  • Freud, Sigmund. The Standard Edition of the Complete Psychological Works of Sigmund Freud. Trans. James Strachey. 24 vols. London: Hogarth, 1953-74.
  • Horney, Karen. The Collected Works. (2 Vols.) Norton, 1937.
  • Horwitz, A. V. and J. C. Wakefield. The Loss of Sadness: How Psychiatry Transformed Normal Sorrow into Depressive Disorder. Oxford University Press, 2007. ISBN 978-0-19-531304-8.
  • Jung, C.G., et al. (1964). Man and his Symbols, New York, N.Y.: Anchor Books, Doubleday. ISBN 0-385-05221-9.
  • Jung, C.G. (1966). Two Essays on Analytical Psychology, Collected Works, Volume 7, Princeton, N.J.: Princeton University Press. ISBN 0-691-01782-4.
  • Jung, C.G. [1921] (1971). Psychological Types, Collected Works, Volume 6, Princeton, N.J.: Princeton University Press. ISBN 0-691-01813-8.
  • Jung, C.G. [1961] (1989). 'Memories, Dreams, Reflections, New York, N.Y.: Vantage Books. ISBN 0-679-72395-1
  • Russon, John. (2003). Human Experience: Philosophy, Neurosis, and the Elements of Everyday Life. Albany: State University of New York Press. ISBN 0-7914-5754-0
  • Winokur, Jon. Encyclopedia Neurotica. 2005. ISBN 0-312-32501-0.

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