Is a Psychodynamic Perspective Relevant to the Clinical Management of Obsessive–Compulsive Disorder?

Chlebowski, Susan; Gregory, Robert J.

doi:10.1176/appi.psychotherapy.2009.63.3.245

Cited by 13 publications

(13 citation statements)

References 32 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Consequently, there is an absence of robust evidence in support of this approach, although some individuals find treatment based on these principles beneficial (Chlebowski & Gregory, 2009).…”

Section: Accepted M Manuscriptmentioning

confidence: 99%

Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance

Robinson

Freeston

2014

Clinical Psychology Review

View full text Add to dashboard Cite

Increasing attention has focused on the role of emotion and internal experience in Obsessive Compulsive Disorder (OCD). This review examines three key constructs that capture different aspects of understanding, appraisal and tolerance of internal states in OCD - alexithymia, anxiety sensitivity (AS) and distress tolerance (DT). The review examines the evidence for the role each of these constructs plays in OCD and considers whether conclusions can be drawn about the implications for our understanding and treatment of OCD. There is evidence that all three are elevated in clinical cases compared to controls, but there is no evidence that any of the three shows specificity for OCD over other anxiety disorders. However, the review has highlighted significant methodological heterogeneity and consequent variation in findings that currently limits broader conclusions from being drawn. There is an indication that this is a valuable area to explore and future studies should focus on deriving greater conceptual clarity around these constructs, independently replicating findings, and establishing a common methodology to enhance the comparability of studies. Studies exploring the ways in which internal experience, cognitions and symptoms may relate to one another would be of significant value in developing models that then lead to improved treatment approaches.

show abstract

Section: Accepted M Manuscriptmentioning

confidence: 99%

Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance

Robinson

Freeston

2014

Clinical Psychology Review

View full text Add to dashboard Cite

show abstract

“…No significant clinical effects were found (Maina, Rosso, Rigardetto, Chiadò Piat, & Bogetto, 2010). However, despite the lack of randomized controlled trials of psychodynamic psychotherapy for OCD, there have been case reports in which psychodynamic formulations and treatments were found to be beneficial, especially in treatment-resistant cases (Chlebowski, & Gregory, 2009;Kempke & Luyten, 2007;Woon, Kanapathy, Zakaria, & Alfonso, 2017). Further, providing an integrative approach, such as combining psychodynamic psychotherapy with CBT or ERP, has been suggested in the literature.…”

Section: Discussionmentioning

confidence: 99%

The Emergence of a Stereotypic Movement During Intensive Short-Term Dynamic Psychotherapy in a Patient with Obsessive Compulsive Disorder: A Case Report

Almadani

Said

2020

Psychodynamic Psychiatry

View full text Add to dashboard Cite

No previous research has investigated the emergence of stereotypic movements in patients during psychotherapeutic sessions, nor have such movements been mentioned in the numerous articles on Habib Davanloo's technique of intensive short-term dynamic psychotherapy. In this article, we present two clinical vignettes from early intensive short-term dynamic psychotherapy sessions, using Davanloo's technique, with a patient who was observed to have an emerging stereotypic movement. These vignettes, extracted from the videotaped sessions using audiovisual technology, concern a young woman who is known to have treatment-resistant obsessive-compulsive disorder. By presenting this case report, we aim to highlight the possibility of the occurrence of such a movement in response to specific interventions, and propose its clinical significance. We interpret this movement as being a tension-releasing mechanism that manifests in response to the therapist's exploration of the patient's emotions. We propose that the purpose of this stereotypic movement is to defend against the patient's actual experience of her repressed feelings. Clinical outcome of this case suggests that psychodynamic psychotherapy could be an effective intervention for patients with treatment-resistant obsessive-compulsive disorder.

show abstract

“…Hence, brief dynamic psychotherapy was chosen as a mode of therapy[567] and a therapeutic contract of ten sessions apart from the two initial sessions needed for diagnosis and choice of therapy was made by the author[4] (therapist).…”

Section: Case Reportmentioning

confidence: 99%

“…[2,3] All techniques of brief dynamic psychotherapy emphasize patient characteristics of motivation, responsiveness, circumscribed problem, single psychotherapeutic focus and healthy relations with both parents, recent onset of the problem and absence of deprivation. [4] There are several schools of brief dynamic therapy; author has followed David Malan's brief dynamic psychotherapy that uses interpretation as a supreme therapeutic agent and also the capacity to be involved in the transference relationship. [4]…”

mentioning

confidence: 99%

See 1 more Smart Citation

Brief Dynamic Psychotherapy in a Case of Obsessive Compulsive Disorder

Vyjayanthi

2014

Indian Journal of Psychological Medicine

View full text Add to dashboard Cite

A 57 years old married, retired official of Indian Railway service presented with two months complaints of recurrent fears of circulation of a duplicate CD of one of his presentations in an international conference, recurrent thoughts that the years of winning medals during his tenure in Indian Railways service were misrepresented in the records as early years. He recognized these fears as irrational, intrusive causing irritability and extreme anxiety, as he felt an urge to go and check the records, and feared it would cause humiliation. A diagnosis of obsessive compulsive disorder predominantly obsessions were made. Patient refused medication and a keen interest to receive insight. Patient had strong ego functions, stable heterosexual partnership, was open to interpretations and therapeutic contract of ten sessions of David Malan's school of brief dynamic therapy was initiated. Unconscious therapeutic alliance dominated over resistance. Displacement, isolation of affect and undoing were the neurotic defenses interpreted by the therapist. Therapeutic focus was relief of obsessions occurred by 9th session and therapy was successfully terminated.

show abstract

Is a Psychodynamic Perspective Relevant to the Clinical Management of Obsessive–Compulsive Disorder?

Abstract: Obsessive-compulsive disorder (OCD)

Cited by 13 publications

References 32 publications

Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance

Emotion and internal experience in Obsessive Compulsive Disorder: Reviewing the role of alexithymia, anxiety sensitivity and distress tolerance

The Emergence of a Stereotypic Movement During Intensive Short-Term Dynamic Psychotherapy in a Patient with Obsessive Compulsive Disorder: A Case Report

Brief Dynamic Psychotherapy in a Case of Obsessive Compulsive Disorder

Contact Info

Product

Resources

About