In Obsessive-Compulsive Disorder and Uncertainty: Struggling with a Shadow of a Doubt, Moshe Marcus and Steven Tuber examine the structural and intrapsychic features of the self as presented within OCD compulsive doubting, and more broadly, within OCD compulsions. Marcus and Tuber further elucidate central object-relational paradigms within OCD doubting and suggest a broader framework that can be used to consider the interplay between both the cognitive as well as the affective components required to make judgments.
Moshe Marcus is postdoctoral fellow at the New York Psychoanalytic Society & Institute and the William Alanson White Institute.
Steven Tuber is director of clinical training and program director of the doctoral program in clinical psychology at the City College of New York.
Chapter 1: A Kantian Model of Judgment
Chapter 2: Internalization and Superego Development: Contours of the Self
Chapter 3: The Self as the Other: Mead’s Account of Internalization and
the Emergence of the Self
Chapter 4: Internalization and the Social Origins of Consciousness in Vygotsky’s Model of the Self
Chapter 5: Self-Near and the Self-Alien Elements of Self within Winnicott’s Model of Psychological Development
Chapter 6: Implications for Treatment
Don’t be fooled by the modesty of the title—this volume covers a vast scope, starting from philosophical ideas about doubt and certainty, moving through object relations theory and psycholinguistics, and arriving at very specific and well-grounded recommendations for the psychodynamic therapy of Obsessive-Compulsive Disorder. Along the way, Moshe Marcus and Steven Tuber describe a psychoanalytically informed view of OCD which offers an empathic and nuanced understanding of how and why people suffer from this crippling disorder.