Una perspectiva psicoanalítica sobre el trastorno de ansiedad generalizada. Raíces históricas y tendencias actuales

Revista de la Sociedad Argentina de Psicoanálisis 01/2010; 14:197-219.


This paper intends to revalue the psychoanalytic contribution to the current concept of Generalized Anxiety Disorder (GAD). Considering Freud’s (1895 / 2001) notion of Actual Neurosis as one of the fundamental historical roots, this paper describes and analyses how the notion of generalized anxiety relates to this concept and is complemented with subsequent developments, both psychoanalytic and from other theoretical frameworks. The terminological problem linked to the term «angst» used by Freud is mentioned, and a brief overview of classical Freudian ideas about anxiety is presented, identifying their possible changes and permanences in today’s psychoanalytic field. Psychoanalytic clinical and research developments are presented as a possible articulation among GAD’s diagnostic standardized criteria, and the psychoanalytic theoretic-clinical approach to this disorder. Likewise, the authors highlight the influence of psychoanalysis in classification systems such as DSM-IV-TR (American Psychiatric Association, 2001). Within this context, the most important contributions of psychodynamic diagnostic manual are considered for the conceptualization of GAD, such as the PDM (PDM Task Force, 2006) and the OPD-2 (OPD Task Force, 2006 / 2008). Finally, contributions from psychoanalytic empirical research for the understanding and treatment of GAD are reviewed.

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Article: Una perspectiva psicoanalítica sobre el trastorno de ansiedad generalizada. Raíces históricas y tendencias actuales

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