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

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...

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Autores principales: Becker, Joana Proença, Paixão, Rui, Silva, Simone, Quartilho, Manuel João, Custódio, Eda M.
Formato: Online Artículo Texto
Lenguaje:English
Publicado: MDPI 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961005/
https://www.ncbi.nlm.nih.gov/pubmed/31817558
http://dx.doi.org/10.3390/bs9120141
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author Becker, Joana Proença
Paixão, Rui
Silva, Simone
Quartilho, Manuel João
Custódio, Eda M.
author_facet Becker, Joana Proença
Paixão, Rui
Silva, Simone
Quartilho, Manuel João
Custódio, Eda M.
author_sort Becker, Joana Proença
collection PubMed
description 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.
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spelling pubmed-69610052020-01-24 Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder Becker, Joana Proença Paixão, Rui Silva, Simone Quartilho, Manuel João Custódio, Eda M. Behav Sci (Basel) Article 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. MDPI 2019-12-05 /pmc/articles/PMC6961005/ /pubmed/31817558 http://dx.doi.org/10.3390/bs9120141 Text en © 2019 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).
spellingShingle Article
Becker, Joana Proença
Paixão, Rui
Silva, Simone
Quartilho, Manuel João
Custódio, Eda M.
Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title_full Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title_fullStr Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title_full_unstemmed Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title_short Dynamic Psychotherapy: The Therapeutic Process in the Treatment of Obsessive-Compulsive Disorder
title_sort dynamic psychotherapy: the therapeutic process in the treatment of obsessive-compulsive disorder
topic Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6961005/
https://www.ncbi.nlm.nih.gov/pubmed/31817558
http://dx.doi.org/10.3390/bs9120141
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