Cognitive Behavioral Therapy ( Erp )

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of OCD or depression and they recommended CBT as primary treatment without additional pharmacotherapy. In cognitive-behavioural therapy, especially exposure and response prevention (ERP) has shown as superior treatment method, as well as compared to SSRIs (Abramowitz, Whiteside, & Deacon, 2005). The cognitive-behavioural approach has been found particularly powerful regarding the understanding of the emergence of OCD. In clinical practice, ERP and CBT are considered the primary treatment method of OCD, although caution must be taken as few researches investigated the outcome of particular interventions on certain OCD subcategories (Ponniah, Magiati, & Hollon, 2013). Freud coined the term obsessional neurosis and the psychoanalytic literature frequently employs this term in relation to OCD. The psychodynamic perspective represents the development of OCD mostly in terms of neurotic disorder. The main features of this approach are represented by the conflict of ego and superego along with hostile and sexual impulses originating from the id (Fenichel, 1945). The superego is coupled with severe aggression which are hypothesized to be innate and also developed from suppression of anger (Blatt, & Shichman, 1983).The OCD is characterised by constant obsessions and their development is accounted for as an outburst of these hostile and erotic feelings or as the penalization of the superego (Fenichel, 1945). The defence mechanism includes rejection, vacillation, suppression. Late psychodynamic theories suggest that OCD is caused by traumatic events and pending fixation during the anal stage hence the ego tries to keep these urges unconscious (Freud, 1966). He hypothesizes the root of the OCD development is affected by the experience of ... ... middle of paper ... ...oural approach highlights as origin of OCD as rituals serve as an escape attitude and to avoid anxiety. Psydynamic model presents its explanation for development via intense anger and shame during anal stage as well as the result of the battle between id and ego. Measuring the efficacy of the explanations, the treatment success ratio serve as useful indicators Both biological and cognitive-behavioural therapies demonstrate efficiency in the treatment of OCD and they are recognized as first-line methods. Contrary, the psychodynamic approach presents no significant difference in treatment of OCD (Bram, & Björgvinsson, 2004). As presented in this essay, no clear etiological explanation for OCD development can be provided. Possible genetic predisposition, biochemical abnormality, neuroanatomical involvement, emotional stimulation may administer to the OCD prevalence.
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