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Short-term psychodynamic therapy for obsessive-compulsive disorder: A manual-guided approach to treating the "inhibited rebel".
Bulletin of the Menninger Clinic ( IF 1.0 ) Pub Date : 2017-12-01 , DOI: 10.1521/bumc_2017_81_07
Falk Leichsenring , Christiane Steinert 1
Affiliation  

Obsessive-compulsive disorder (OCD) is a chronic disabling disorder characterized by recurrent obsessions and uncontrolled compulsions. Recent research on anxiety disorders suggests that manual-guided short-term psychodynamic therapy (STPP) may be a promising approach. Building on this, a model of STPP for OCD was developed based on Luborsky's supportive-expressive (SE) therapy. Treatment consists of 12 modules, which include the characteristic elements of SE therapy, that is, a focus on the Core Conflictual Relationship Theme (CCRT) associated with OCD symptoms and on establishing a secure alliance. Disorder-specific treatment elements were integrated, including addressing ambivalence, differentiating between thinking and acting, mitigating the superego, addressing existential issues, and, last but not least, implementing Freud's original recommendation to induce OCD patients to face the feared situation and to use the aroused experiences to work on the underlying conflict (i.e., CCRT). There are reasons to assume that the empirically derived model of STPP described here may be beneficial in OCD.

中文翻译:

强迫症的短期心理动力疗法:一种人工指导的方法来治疗“抑制性反叛”。

强迫症(OCD)是一种慢性致残性疾病,其特征是经常性的强迫症和强迫性失控。焦虑症的最新研究表明,手动指导的短期心理动力疗法(STPP)可能是一种有前途的方法。在此基础上,基于卢博斯基的支持性表达(SE)治疗方法,开发了用于OCD的STPP模型。治疗包括12个模块,其中包括SE治疗的特征性要素,即与OCD症状相关的核心冲突关系主题(CCRT)和建立安全联盟的重点。整合了针对疾病的治疗要素,包括解决矛盾,区分思维和行动,减轻超我,解决存在的问题以及最后但并非最不重要的是实施弗洛伊德 最初的建议是促使强迫症患者面对恐惧的境况,并利用引起的经验来解决潜在的冲突(即CCRT)。有理由假设,此处描述的STPP的经验派生模型在OCD中可能是有益的。
更新日期:2017-12-01
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