| Trichotillomania and the mourning process: a case report and review of the psychodynamics. | |
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MedLine Citation:
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PMID: 10593058 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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We present our theory of trichotillomania (hair pulling) as a manic phenomenon, complementary to its classic comprehension as a mourning response. Under certain conditions, separation or threat of separation can generate sadness or grief, while in pathological cases, when the loss is experienced as unbearable, the response might be depressive or manic. We suggest that in trichotillomania (TR), like in mania, manic defenses are used to cope with separation. We believe hair pulling is an expression of primary magical thinking, offering the subject an illusion of control and victory over the object. A representative case of a young woman suffering from bipolar disorder with TR is described. Based on our case analysis, we argue that TR may not necessarily be a variant of OCD, but rather classified among the affective disorders. |
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Authors:
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D Hamiel; A Yoffe; D Roe |
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Publication Detail:
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Type: Case Reports; Journal Article; Review |
Journal Detail:
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Title: The Israel journal of psychiatry and related sciences Volume: 36 ISSN: 0333-7308 ISO Abbreviation: Isr J Psychiatry Relat Sci Publication Date: 1999 |
Date Detail:
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Created Date: 1999-12-30 Completed Date: 1999-12-30 Revised Date: 2005-11-16 |
Medline Journal Info:
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Nlm Unique ID: 8108287 Medline TA: Isr J Psychiatry Relat Sci Country: ISRAEL |
Other Details:
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Languages: eng Pagination: 192-9; discussion 200-2 Citation Subset: IM |
Affiliation:
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Tel Aviv-Brill Community Mental Health Center, Sackler Medical School, Tel Aviv University, Israel. C12502@coop.co.il |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adult Bipolar Disorder / complications, psychology*, therapy* Female Grief* Humans Psychoanalytic Interpretation* Psychotherapy Symbolism* Treatment Outcome Trichotillomania / psychology* |
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