Publicação
Ambivalence resolution in obsessive-compulsive disorder: an exploratory case study
| Resumo: | Obsessive-compulsive disorder is characterized by high rates of dropout, non-adherence, and relapse, possibly due to high levels of ambivalence towards change. Cognitive models of OCD highlight the personal significance of specific themes of the intrusive thoughts that characterize OCD as central to its etiology and symptom maintenance. To our knowledge, the relation between the specific content of intrusions and patients’ ambivalence and ambivalence resolution process in OCD have not yet been studied. We analyzed process markers of ambivalence and ambivalence resolution in 20 sessions of a recovered OCD patient treated with the Unified Protocol, and analyzed those moments through a content analysis. We hypothesized that 1) the evolution of AMs and 2) the progression of ambivalence resolution types would be similar to recovered cases of depression, and 3) that the intrusions’ content was semantically related to the content of the positions of the self involved in ambivalence. The three hypotheses were confirmed. The present study further supports the association between ambivalence resolution and successful therapeutic outcomes, and underlines the importance of therapists understanding how the specific content of intrusions may contribute to patients’ reluctance in the process of therapeutic change. |
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| Autores principais: | Almeida, Jan Artur Kondek Guedes de |
| Assunto: | Ambivalence Ambivalence resolution Content analysis Obsessive-compulsive disorder Ambivalência Análise de conteúdo Perturbação obsessivo-compulsiva Resolução de ambivalência |
| Ano: | 2021 |
| País: | Portugal |
| Tipo de documento: | dissertação de mestrado |
| Tipo de acesso: | acesso aberto |
| Instituição associada: | Universidade do Minho |
| Idioma: | inglês |
| Origem: | RepositóriUM - Universidade do Minho |
| Resumo: | Obsessive-compulsive disorder is characterized by high rates of dropout, non-adherence, and relapse, possibly due to high levels of ambivalence towards change. Cognitive models of OCD highlight the personal significance of specific themes of the intrusive thoughts that characterize OCD as central to its etiology and symptom maintenance. To our knowledge, the relation between the specific content of intrusions and patients’ ambivalence and ambivalence resolution process in OCD have not yet been studied. We analyzed process markers of ambivalence and ambivalence resolution in 20 sessions of a recovered OCD patient treated with the Unified Protocol, and analyzed those moments through a content analysis. We hypothesized that 1) the evolution of AMs and 2) the progression of ambivalence resolution types would be similar to recovered cases of depression, and 3) that the intrusions’ content was semantically related to the content of the positions of the self involved in ambivalence. The three hypotheses were confirmed. The present study further supports the association between ambivalence resolution and successful therapeutic outcomes, and underlines the importance of therapists understanding how the specific content of intrusions may contribute to patients’ reluctance in the process of therapeutic change. |
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