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Journal of the American Psychoanalytic Association
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Oedipal Dynamics in Panic Disorder

Fredric N. Busch

Cornell University Medical College, Fnb80{at}aol.com

Barbara L. Milrod

Cornell University Medical College

Marie Rudden

Cornell University Medical College

Theodore Shapiro

Cornell University Medical College

Meriamne Singer

Columbia University College of Physicians and Surgeons

Andrew Aronson

Mount Sinai School of Medicine

Jean Roiphe

Cornell University Medical College

Both research and clinical work have revealed factors that can lead to the onset and persistence of panic disorder. Preoedipal conflicts intensify the danger of oedipal longings for panic patients. Competition with the same-sex parent is linked with angry preoedipal fantasies and associated fears of disruption in attachments. Fantasied or actual successes can thus trigger panic episodes. Regression to a helpless, dependent state such as panic defends against the danger of aggressive, competitive fantasies and actual achievements. However, the regressive state can also be experienced as dangerous, and can be linked with frightening homosexual fantasies. A reactive aggressive oedipal stance can sometimes result, triggering escalating turmoil. The panic episode serves a series of compromise formations in dealing with these conflicted wishes.

Journal of the American Psychoanalytic Association, Vol. 47, No. 3, 773-790 (1999)
DOI: 10.1177/00030651990470030401
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F. N. Busch, B. L. Milrod, M. Rudden, T. Shapiro, J. Roiphe, M. Singer, and A. Aronson
How Treating Psychoanalysts Respond To Psychotherapy Research Constraints
J Am Psychoanal Assoc, September 1, 2001; 49(3): 961 - 984.
[Abstract] [PDF]