%0 Journal Article %T Out, out, damned blind spot! The problem of anxiety with dynamic psychotherapy %A Neil Raveen Jeyasingam %J Australasian Psychiatry %@ 1440-1665 %D 2018 %R 10.1177/1039856217716294 %X This article discusses Lady Macbeth¡¯s famous sleepwalking scene from the Shakespearean tragedy, and how it became used as a template for the formulation of obsessive-compulsive disorder. Psychoanalysis maintained its role in understanding the condition, despite the lack of evidence base and the repeated finding from many therapists of a failure to control symptomatology. It is suggested that psychodynamic psychotherapy suffered from a failure to recognise what components of its practice were aesthetically attractive concepts rather than evidence-based medicine and outcome measures, and is an important issue in considering its future directions %K psychotherapy %K literature %K psychodynamic %K psychoanalysis %U https://journals.sagepub.com/doi/full/10.1177/1039856217716294