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OBSESSIVE-COMPULSIVE DISORDER THROUGH THE FAMILY THERAPY LENS
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| Ana Sayfa > Seçtiğiniz Site Kısmı > VIII. EFTA AVRUPA AİLE TERAPİSİ DERNEĞİ KONGRESİ > WORKSHOP > |
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‹Obsessive-compulsive disorder’ is a psychiatric diagnosis for the individual, although both it’s origin, developement and the every day effects are deep rooted in the family. In our presentation, illustrated with case vignettes, we focus on 3 aspects of this persistent and in the family therapy literature not very well discussed disease. 1. The OCD can be understood as an attempt in chaotic families to mark a new border for redirecting enmeshed family relationships, to establish healthy parent/child generational boundaries. We can conceptualise the symptoms as a failed attempt to handle the stress during the crisis of life cycle change in the family . 2. Behind the OCD symptoms sometimes we find in family history the lack of grief over severe losses, over such traumas, which were experienced together, but never communicated. The obsessive behavior can serve the handling of the extreme fear, anger and rage, not to overwhelm the suffering family member. The theraputic ritual , as a contra-ritual, can serve grief, togetherness and a new begining. 3. Parents with severe OCD symptoms influence their adolescent children resulting in psychiatric symptom-building , like bulimia, trichotylomania, impulse-control troubles etc.This indicates that the extremely rigid family rules, the state of isolation from the relatives and friends impede the teenagers maturation into adulthood. The cleaning compulsions can be seen as metaphores of inability to get rid of the ‘sins’ of the past.
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