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Psychotherapy of the Obsessional

Obsessional defenses require a confronting, active therapist in order to break through the intellectualized, ritualized, and highly distracting productions of the patients. The tendency to obfuscate through details and rigid adherence to the instructions demands a loose, flexible, and direct interaction from a therapist who is not too obsessional and willing to forego his own perfectionistic expectations from therapy.

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