Quote:
|
Originally Posted by doorknob Hey Millwall,
I agree with you. Psychoanalysis has shown to have pretty much no effect in treating OCD. Medication and behavioral or cognitive behavioral therapy has had the best results especially when used in combination. Studies with PET scans show that they cool down the parts of the brain that are overactive in OCD patients.
Doorknob |
I actually agree with you that CBT and medication has been impirically validated to be effective in treating OCD. I should have been more clear with my response. I actually don't come for the psychodynamic school, but sometimes I use some of their terminology.
My reference to rooted anxiety or trauma is not based on typical fruedian beliefs, but that of an anxiety (or trauma) that is manifested as OCD. Many times people with OCD lack control in other parts of their life, and their obsessions/compulsions and resulting rituals are a response to having some semblance of control. Also, if I were treating someone with OCD, I wouldnt' take a psychodynamic approach....though suprisingly I can see the parallels of psychodynamic and CBT. (I actually prefer a combination of CBT and some humanistic techniques....but it depends on the case). In the given case I would (hypothetically) first examine the person's cognitions to find any incongruence or problem areas. Then I'd deconstruct their cycle (stimulus, cognition/automatic-thought, response/ritual), then I'd work on alternative coping methods to extinguish the conditioned response. I'd probably re-evaluate at each step, because it never goes as you originally though.
Hopefully I cleared that up.
-pedagogue