CLP 3140 Lecture Notes - Lecture 14: Obsessive–Compulsive Disorder, Stanley Rachman, Cognitive Behavioral Therapy
Document Summary
Anxiety disorders: develop when children fear their id impulses and use ego defense mechanism to lessen their anxiety. Ocd: is played out in overt thought and actions. Ego defenses= counter-thoughts or compulsive actions: is related to the anal stage of development (freud) Period of intense conflict between id and ego. Overall, research has not supported the psychodynamic explanation. Psychodynamic therapies: seek to uncover and overcome underlying conflicts and defenses, use free association and interpretation, have little research support, preferably used as short-term therapy. Behaviorists: concentrate on explaining and treating compulsions rather than obsessions, propose that people happen upon their compulsions quite randomly. Stanley rachman and colleagues: compulsions do appear to be rewarded by an eventual decrease in anxiety. Behavioral therapy: exposure and response prevention (rep_ Exposes a client to anxiety-arousing thoughts or situations and then prevents the client from performing his or her compulsive acts. Used in individual and group therapy formats. May involve self-help procedures in home settings.
