Major Approaches To Clinical Psychology Essay

3070 words - 13 pages

Major Approaches to Clinical Psychology: Obsessive-Compulsive Disorder

Speaker Notes

Elements of Clinical Psychology

PSY 480

August 27, 2012

Kristi Collins-Johns, Psy. D.

Major Approaches to Clinical Psychology: Obsessive-Compulsive Disorder

Speaker Notes

Slide 1:
Title Page Only
Slide 2: 
Several approaches of treatment for obsessive-compulsive disorder (OCD) exist. Four major theoretical approaches include psychodynamic, cognitive-behavioral, humanistic, and family systems (Plante, 2011). Each approach perceives OCD as an intrusive condition possessing characteristics of unwanted thoughts, producing anxiety with the ...view middle of the document...

The maladaptive thought processes as well as dysfunctional thought patterns produce anxiety (Hansell & Damour, 2008). Additional contributors to the disorder can include situational misinterpretations as well as underestimating one’s emotional ability (Hansell & Damour, 2008). Each intervention possesses distinct perceptions and treatment methods for the intrusive and obsessive thoughts as well as the compulsive and ritualistic behavior (Hansell & Damour, 2008).
Slide 3:
Freud’s perspective of OCD symptoms rely upon his theory of defense mechanisms; isolation of affect and undoing (Hansell & Damour, 2008). The individual copes with the symptoms of OCD through defense mechanisms in this theory (Hansell & Damour, 2008). Isolation of affect allows the individual to disconnect the intrusive thoughts or obsessions from other emotions and experiences; perceiving them as intrusive annoyances (Hansell & Damour, 2008). Undoing allows the individual to proceed in some form of ritualistic behavior that acts as a magical cure for the intrusive obsession (Hansell & Damour, 2008).
Freud’s perspective continues with theories of rigid toilet-training methods, misunderstood childhood punishments, and sexual issues causing internalization of unresolved conflicts resulting in OCD symptoms (Hansell & Damour, 2008). In addition to childhood punishment and parenting styles, other psychodynamic perspectives view the symptoms of OCD as a result of cultural demands on neatness or cleanliness (Hansell & Damour, 2008). Fraum (2012), perceives "the fundamental issues that drive these symptoms include fear of rejection or abandonment, as well as interpersonal issues regarding intimacy, sex, control, power or other problems in their relationship" (para. 12).
Through the psychodynamic intervention goals for the individuals will include understanding the underlying cause for the symptoms, creating a sense of self-acceptance, and learning to cope with emotional conflicts without the need for ritualistic behaviors (Hansell & Damour, 2008). Through learning to cope with emotional conflicts the individual will reduce anxiety, and remove the necessity for defense mechanisms (Hansell & Damour, 2008).
Slide 4:
Psychodynamic therapy places its focus on the assumption that pathological anxiety rises from unconscious emotional conflicts (Plante, 2011). Psychologists will use basic psychodynamic techniques to address most anxiety disorders, including OCD (Abend, 1996). Establishing and maintaining the patient-therapist bond allows the individual to speak freely through free association, recall dreams, and supply vital information for the therapist to interpret; revealing the underlying unconscious directives for the anxiety (Abend, 1996). Psychodynamic therapy can also include guided movement and imagery to assist the patient in understanding the symptoms as a defense mechanistic reaction to past and present conflicts (Abend, 1996).
Psychodynamic intervention is effective in...

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