scholarly journals Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder

2019 ◽  
Vol 9 (12) ◽  
pp. 141 ◽  
Author(s):  
Joana Proença Becker ◽  
Rui Paixão ◽  
Simone Silva ◽  
Manuel João Quartilho ◽  
Eda M. Custódio
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Interpersonal Relationships ◽  
Functional Disability ◽  
Therapeutic Process ◽  
Long Term Results ◽  
Short Term ◽  
Obsessive Compulsive ◽  
Dynamic Psychotherapy ◽  
Compulsive Disorder ◽  
Narrative Literature Review

Dynamic Psychotherapy (DP) was developed to overcome the limitations of traditional psychoanalysis, responding to a broader demand of patients who seek help to cope with specific problems in the short term, such as Obsessive-Compulsive Disorder (OCD). OCD is a chronic disabling mental disorder that leads to substantial distress, functional disability and severe occupational and social impairments. Recognizing the literature gap in this field, and the improvements reported by dynamic therapists who have dealt with patients suffering from OCD, a study on the treatment of these patients was conducted in order to discuss the effects of this technique. The method involved a narrative literature review and the analysis of two clinical cases to discuss therapeutic processes, which include the specificities of OCD patients and the mechanisms adopted in the treatment through DP. The therapist’s active stance seemed to be essential to encourage the patient to face feared situations and identify the core conflict. Both patients who were treated through DP presented similarities, such as high anxiety, feelings of guilt and inhibition of aggressive and sexual impulses. Through emotional exploration, confrontation of defensive functioning and interpretative interventions of inner conflicts, patients had reached awareness of their hidden feelings and experiences, and their symptoms and feelings of guilt decreased. They also showed significant improvements in their interpersonal relationships. Although both treatments do not fit into short-term therapies, this technique has led to long-term results, providing evidence that DP may produce favorable outcomes in the treatment of OCD.

scholarly journals Patient-reported outcomes in obsessive-compulsive disorder

2014 ◽  
Vol 16 (2) ◽  
pp. 239-254 ◽  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Patient Reported Outcomes ◽  
Functional Disability ◽  
Psychometric Evaluation ◽  
Patient Reported Outcome Measures ◽  
Patient Reported Outcome ◽  
Future Research ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Patient Reported

The purpose of the article was to provide an overview of patient-reported outcomes (PROs) and related measures that have been examined in the context of obsessive-compulsive disorder (OCD). The current review focused on patient-reported outcome measures (PROMs) that evaluated three broad outcome domains: functioning, health-related quality of life (HRQoL), and OCD-related symptoms. The present review ultimately included a total of 155 unique articles and 22 PROMs. An examination of the PROs revealed that OCD patients tend to suffer from significant functional disability, and report lower HRQoL than controls. OCD patients report greater symptom severity than patients with other mental disorders and evidence indicates that PROMs are sensitive to change and may be even better than clinician-rated measures at predicting treatment outcomes. Nonetheless, it should be noted that the measures reviewed lacked patient input in their development. Future research on PROMs must involve patient perspectives and include rigorous psychometric evaluation of these measures.

Correlates and mediators of functional disability in obsessive-compulsive disorder

2009 ◽  
Vol 26 (9) ◽  
pp. 806-813 ◽  
Author(s):  
Eric A. Storch ◽  
Jonathan S. Abramowitz ◽  
Mary Keeley
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Functional Disability ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Interpersonal Ambivalence in Obsessive-Compulsive Disorder

2012 ◽  
Vol 41 (5) ◽  
pp. 594-609 ◽  
Author(s):  
Steffen Moritz ◽  
Helen Niemeyer ◽  
Birgit Hottenrott ◽  
Lisa Schilling ◽  
Carsten Spitzer
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Interpersonal Relationships ◽  
Anger Expression ◽  
Social Attitudes ◽  
Healthy Controls ◽  
Obsessive Compulsive ◽  
Functional Connection ◽  
Compulsive Disorder ◽  
Competence Training ◽  
Inflated Responsibility

Background: The social attitudes and interpersonal relationships of patients with obsessive-compulsive disorder (OCD) are subject to a longstanding controversy. Whereas cognitive-behavioural researchers emphasize exaggerated pro-social attitudes in OCD like inflated responsibility and worry for other people (especially significant others), dynamic theories traditionally focus on anti-social attitudes such as latent aggression and hostility. In two recent studies, we gathered support not only for a co-existence of these seemingly opposing attitudes in OCD, but also for a functional connection: inflated responsibility in part appears to serve as a coping strategy (or “defense”) against negative interpersonal feelings. Aims: In the present study, we tested a shortened version of the Responsibility and Interpersonal Behaviours and Attitudes Questionnaire (RIBAQ-R). Method: The scale was administered to 34 participants with OCD and 34 healthy controls. The questionnaire concurrently measures pro-social and anti-social interpersonal attitudes across three subscales. Results: In line with our prior studies, patients displayed higher scores on both exaggerated pro-social attitudes (e.g. “I suffer from a strict conscience concerning my relatives”) as well as latent aggression (e.g. “Sometimes I would like to harm strangers on the street“) and suspiciousness/distrust (e.g. “I cannot even trust my own family”). A total of 59% of the patients but only 12% of the healthy controls showed marked interpersonal ambivalence (defined as scores higher than one standard deviation from the mean of the nonclinical controls on both the pro-social and at least one of the two anti-social subscales). Conclusions: The study asserts high interpersonal ambivalence in OCD. Further research is required to pinpoint both the dynamic and causal links between opposing interpersonal styles. Normalization and social competence training may prove beneficial to resolve the apparent problems of patients with OCD regarding anger expression and social conflict management.

scholarly journals Impact of the COVID-19 Pandemic on the Short-Term Course of Obsessive-Compulsive Disorder

2021 ◽  
Vol Publish Ahead of Print ◽  
Author(s):  
Lavanya P. Sharma ◽  
Srinivas Balachander ◽  
Abel Thamby ◽  
Mahashweta Bhattacharya ◽  
Chethana Kishore ◽  
...  
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Short Term ◽  
Obsessive Compulsive ◽  
Compulsive Disorder

Short-Term Residential Treatment for Obsessive-Compulsive Disorder

2003 ◽  
Vol 3 (4) ◽  
pp. 413-435 ◽  
Author(s):  
Deborah Osgood-Hynes ◽  
Bradley Riemann ◽  
Thröstur Björgvinsson
Keyword(s):  
Residential Treatment ◽  
Obsessive Compulsive Disorder ◽  
Short Term ◽  
Obsessive Compulsive ◽  
Compulsive Disorder
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