Juntendo Medical Journal
Online ISSN : 2188-2134
Print ISSN : 0022-6769
ISSN-L : 0022-6769
Obessions as a Common Sense Dissolution
--At the Onset of Symptoms--
FUMITERU MATSUMURA
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1977 Volume 23 Issue 3 Pages 385-396

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Abstract

I have thought that the considerable part of obsessive-compulsive reactions could be regarded as a common sense dissolution at the onset of symptoms. I have devided them into three types and have described about them in practical cases as follows. Type I : At the onset of symptoms by losing the trust on common sense; the common sense, regarded by people as the self-evident, has instability and fragility which betray the trust of people in it. It should be varied according to different periods or place. Such characters of comon sense might bother some people and make them obsessive. Type II : The fear to be separated from common sense world would be noticed. The common sense is authorized by support of people with common feeling, but the authority has taboo. The patients might not avoid to confront with the taboo of common sense, while they fear it deeply. Type III : The faifure of skillful adjustment to common sense which involves discrepancies would be recognized. The common sense has discrepancies which ordinary people overcome skillfully. But such overcoming has a tendency to self-deception. Although the patients are not skillful enough to adapt the common sense world fluently, their attitudes of direct gazing at discrepancies might have a piece of truth. The common sense dissolution in obsessive-compulsive patients might be the result of mutual interacion of both patients and common sense itself. Their rigid and formal attitudes make it difficult to adjust themselves to the common sense world. On the other hand, the common sense --the preconcert of people-- disregards sometimes fears and discrepancies, which are inevitable in actual human life The security which the common sense insures is not always stable, and therefore some people get distrust and confusion about the common sense. Also the authority of the common sense making taboo might confuse some people and thre- aten them to some kinds of conflict.

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© 1977 The Juntendo Medical Society
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