A long-term case study with sadistically-tinged countertransference elements

  • Douglas H. Ingram


This case report sketches the psychoanalytically-informed supportive psychotherapeutic treatment of a single man through his life challenges over a twenty-year period. The decades-long challenges arise from obsessive compulsive disorder, pathologic self-effacement with insatiable and unusual erotic components, and severe visual impairment leading to blindness. Sadistically-tinged impulses arising in the countertransference are described.


countertransference long-term treatment blindness obsessive compulsive disorder 



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Copyright information

© Association for the Advancement of Psychoanalysis 2019

Authors and Affiliations

  • Douglas H. Ingram
    • 1
  1. 1.New YorkUSA

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