Author/Editor		Židanik, Miloš
Title		Prisilne misli: prikaz primera
Translated title		Obsessions: case report study
Type		članek
Source		Zdrav Vestn
Vol. and No.		Letnik 73, št. 1
Publication year		2004
Volume		str. 9-11
Language		slo
Abstract		Background. Obsessions are one of the most refractory psychiatric disorders. The therapeutic guidelines include a psychopharmacotherapy and the use of behavioural and supportive psychotherapy. Methods. This case report study presents a patient with a homicide obsessions at the forefront and narcissistic personality disorder in background. The use of analytical oriented psychotherapy, which helped to resolve axis-1 symptoms, is described. Conclusions. In the therapy of patients it is important to have the knowledge about the national therapeutic guidelines and critical distance toward them as well. Which therapy to use should be decided by the individual patient's needs.
Summary		Izhodišča. Prisilne misli sodijo med najbolj trdovratne psihiatrične motnje. Priznane terapevtske smernice so omejene na psihofarmakoterapijo in uporabo vedenjskih ter suportivnih psihoterapevtskih tehnik. Metode. V prispevku predstavljam primer bolnika s prisilnimi mislimi homocidne vsebine v ospredju in narcistično osebnostno motnjo v ozadju ter opis analitično usmerjene psihoterapevtske obravnave, ki je pripomogla k izzvenenju simptomatike. Zaključki. V obravnavi bolnikov potrebujemo kritičen odnos do priznanih terapevtskih smernic. Ob natančnem poznavanju le-teh nam mora biti osnovno vodilo pri izboru zdravljenja potreba posameznega bolnika po vrsti in načinu obravnave.
Descriptors		OBSESSIVE BEHAVIOR OBSESSIVE-COMPULSIVE DISORDER ADULT NARCISSISM PSYCHOTHERAPY