Customer Service | Help | FAQ | Report a Data Error | About
:
Login
Tip: To print an article…

PEP-Web Tip of the Day

To print an article, click on the small Printer Icon located at the top right corner of the page, or by pressing Ctrl + P. Remember, PEP-Web content is copyright.

For the complete list of tips, see PEP-Web Tips on the PEP-Web support page.

Orr-Andrawes, A. (1987). The Case of Anna O.: a Neuropsychiatric Perspective. J. Amer. Psychoanal. Assn., 35:387-419.

(1987). Journal of the American Psychoanalytic Association, 35:387-419

The Case of Anna O.: a Neuropsychiatric Perspective

Alison Orr-Andrawes, M.D.

ABSTRACT

Previous interpretations have not adequately explained the presence of focal neurological signs, delirium, and a variety of highly specific disturbances of perception, language, and sensorium in the case of Anna O. Examination of the neurological details suggests that Anna suffered from complex partial seizures exacerbated by drug dependence, and that she developed conversion symptoms patterned after the preexisting organic pathology. Hysterical conversion symptoms that mimic ictal events are not uncommon in psychomotor epilepsy. Recent neuropsychiatric models of hysteria are remarkably similar to the hypnoid states theory Breuer formulated, based on his observation of Anna O. The hypothesis presented here does not conflict with previous psychodynamic interpretations. I submit that it was the development of a conversion disorder patterned on actual organic phenomena, which highlighted for Breuer and Freud the "psychical mechanism" of somatic symptoms, thus paving the way for the important psychodynamic discoveries for which the case is remembered.

[This is a summary or excerpt from the full text of the book or article. The full text of the document is available to subscribers.]

Copyright © 2017, Psychoanalytic Electronic Publishing, ISSN 2472-6982 Customer Service | Help | FAQ | Download PEP Bibliography | Report a Data Error | About

WARNING! This text is printed for personal use. It is copyright to the journal in which it originally appeared. It is illegal to redistribute it in any form.