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

Abstract

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.

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Correspondence to Douglas H. Ingram.

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Douglas H. Ingram, M.D. is Faculty, Supervising and Training Analyst at the American Institute for Psychoanalysis; Clinical Professor of Psychiatry and Behavioral Sciences at New York Medical College.

Address Correspondence to: Douglas H. Ingram, M.D. 4 East 89th Street, #1C, New York, NY 10128, USA. Email: DHIngramMD@aol.com.

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Ingram, D.H. A long-term case study with sadistically-tinged countertransference elements. Am J Psychoanal 79, 94–102 (2019). https://doi.org/10.1057/s11231-019-09175-5

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Keywords

  • countertransference
  • long-term treatment
  • blindness
  • obsessive compulsive disorder