Psychodynamic and cognitive–behavioral approaches of obsessive–compulsive disorder: Is it time to work through our ambivalence?
- 1 October 2007
- journal article
- review article
- Published by Guilford Publications in Bulletin of the Menninger Clinic
- Vol. 71 (4), 291-311
- https://doi.org/10.1521/bumc.2007.71.4.291
Abstract
This paper provides an overview of the growing convergence among psychodynamic and cognitive-behavioral approaches of Obsessive-Compulsive Disorder (OCD). From a traditional psychoanalytic point of view, OCD is mainly conceptualized in terms of a constant conflict between feelings of love and hate. More recent psychodynamic theories of OCD, such as the object-relational model, focus on the role of ambivalent mental representations or cognitive-affective schemas of self and others. This notion of mental representations or schemas links psychodynamic formulations to cognitive-behavioral approaches of OCD. Moreover, there is increasing overlap between psychodynamic and cognitive-behavioral models concerning the core dynamics involved in OCD. Implications of this convergence for future research and clinical practice are discussed.Keywords
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