Abstract
This article is based upon my many experiences of working with clients who have obsessive compulsive characteristics. Having researched many theories about its causation and utilised Cognitive Behavioural Therapy and Mindfulness techniques with my clients to help its management and containment in the moment, I am still impressed with Freud’s original insights into its causation that I feel still have value today, and one in particular, a primary dynamic, which I refer to in this article. Enabling clients to explore this process in the creation of their compulsive thoughts and ritual defences offers the possibility of discovering some meaning in their torment.
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