A psychoanalytic view on generalized anxiety disorder
an empirical approach to its conceptualization
DOI:
https://doi.org/10.60106/rsbppa.v15i2.506Keywords:
Anxiety Neurosis, Consensual Qualitative Research (CQR), Generalized Anxiety DisorderAbstract
The aim of the present paper is to investigate how experienced psychoanalysts define generalized anxiety disorder (GAD), as outlined in the DSM-IV-TR (AMERICAN PSYCHIATRIC ASSOCIATION, 2001). Semistructured interviews were performed with psychoanalysts who met expertise criteria (EELLS et al., 2011) in order to assess their ideas about the possible etiologic factors, defense mechanisms, prevailing anxieties related to this disorder, signs and symptoms associated with it, the underlying structure ascribed to GAD, as well as their opinions about its validity or duration. The Consensual Qualitative Research (CQR), developed by Hill, Thompson and Nutt-Williams (1997), was used for qualitative data analysis. The analys isindicated associations between GAD and Freudian notions about anxiety neurosis (FREUD, 1895) and anxiety hysteria (FREUD, 1909), primitive anxieties and defense mechanisms, and insecure attachment. Also, there was a tendency to regard GAD as a phenomenon with several psychic structures, observed both in neurotic anxiety and in borderline disorders. This paper raised some questions and allowed making several assumptions about the nature of GAD from a psychoanalytic standpoint, indicating the need of empirical research studies in the future to shed further light upon the association between this disorder and the key concepts of the psychoanalytic theoretical framework.
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