强迫症(OCD)是一种复杂的生理疾病,遗传,和心理社会原因。传统的循证治疗包括认知行为疗法,单独或与血清素特异性再摄取抑制剂(SSRI)联合使用,其他血清素能药物,或非典型的抗精神病药.这些治疗,然而,通常不会导致缓解,因此,探索其他不太常规的治疗方法至关重要。本文描述了一个案例研究,叙事,存在主义,隐喻疗法与更常规的治疗相结合,在精神病住院的12岁患者中,严重的强迫症得到了显着缓解。那张纸,部分以故事的形式写成,以在元层面上展示叙事的力量,还旨在说明在严重强迫症患者的治疗中反向转移的挑战,以及修复性治疗联盟可能导致意想不到的重要变化的方式。
Obsessive-compulsive disorder (OCD) is a complex condition with biological, genetic, and psychosocial causes. Traditional evidence-based treatments include cognitive-behavioural therapy, either alone or in combination with serotonin-specific reuptake inhibitors (SSRI\'s), other serotonergic agents, or atypical antipsychotics. These treatments, however, often do not lead to remission, and therefore, it is crucial to explore other less conventional therapeutic approaches. This paper describes a
case study in which psychodynamic, narrative, existential, and metaphor therapy in combination with more conventional treatments led to a dramatic remission of severe OCD in a 12 year old hospitalized on a psychiatric inpatient unit. The paper, which is written partly in the form of a story to demonstrate on a meta-level the power of narrative, is also intended to illustrate the challenges of countertransference in the treatment of patients with severe OCD, and the ways in which a reparative therapeutic alliance can lead to unexpected and vital change.