Psicoterapia grupal no transtorno obsessivo-compulsivo

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dc.contributor.authorTorres, Albina Rodrigues [UNESP]
dc.contributor.authorLima, Maria Cristina Pereira [UNESP]
dc.contributor.authorDe Abreu Ramos-Cerqueira, Ana Teresa [UNESP]
dc.contributor.institutionUniversidade Estadual Paulista (Unesp)
dc.date.accessioned2014-05-27T11:20:22Z
dc.date.available2014-05-27T11:20:22Z
dc.date.issued2001-12-01
dc.description.abstractThere are few published papers about group psychotherapy for patients with obsessive-compulsive disorder (OCD), and usually restricted psychoeducational, support or cognitive-behavioral approaches. This article describes the experience of group psychotherapy for OCD patients started in 1996 in Botucatu Medical School - Unesp, São Paulo, Brazil. The two-hour sessions occur once a month, with 6 to 10 female patients, and are based on psychodramatic techniques. Psychotropic prescriptions are given after the sessions. In the beginning, aggressive obsessions were more prominent and were reported with much anguish and shame. Gradually, the themes changed from OCD specific issues (symptoms, pharmacological treatment, outcome, need of exposure and response prevention) to deeper and more personal psychodynamic aspects. The psychodramatic approach (techniques of double, mirror, role inversion, search for prymary scenes) has mostly shown: difficulty in accepting their own human mistakes or negative emotions due to excessive personal demands. This seems to generate guilt, low self-esteem, idealization of others, difficulty in enjoying pleasant situations, fear of taking responsibilities and of losing control (madness/aggressiveness). The group has been considered very important by the patients, since sharing experiences helps to diminish feelings of isolation, shame and guilt, stimulates the exposure to feared situations and enhances self-esteem. The fact that all participants have the same disorder favors group cohesion and provides relief, as they see in the others some of their afflictions and are able to share similar feelings and experiences. Many times the burden of the symptoms are dealt with humor. The confidence in such therapeutic setting is helping the identification and resolution of personal conflicts and contributing to the adherence to pharmacological treatment. The group also provides valuable training experiences for resident physicians in psychiatry.en
dc.description.affiliationDepartamento de Neurologia e Psiquiatria Faculdade de Medicina de Botucatu (FMB) - UNESP
dc.description.affiliationDepartamento de Neurologia e Psiquiatria FMB/Unesp
dc.description.affiliationFaculdade de Medicina de Botucatu Unesp - Distrito de Rubião Jr., CEP 18618-970 - Botucatu-SP
dc.description.affiliationUnespDepartamento de Neurologia e Psiquiatria Faculdade de Medicina de Botucatu (FMB) - UNESP
dc.description.affiliationUnespDepartamento de Neurologia e Psiquiatria FMB/Unesp
dc.description.affiliationUnespFaculdade de Medicina de Botucatu Unesp - Distrito de Rubião Jr., CEP 18618-970 - Botucatu-SP
dc.format.extent297-304
dc.identifier.citationJornal Brasileiro de Psiquiatria, v. 50, n. 9-10, p. 297-304, 2001.
dc.identifier.issn0047-2085
dc.identifier.lattes3837157956819433
dc.identifier.lattes2169124595816290
dc.identifier.scopus2-s2.0-19744373828
dc.identifier.urihttp://hdl.handle.net/11449/66733
dc.language.isopor
dc.relation.ispartofJornal Brasileiro de Psiquiatria
dc.relation.ispartofsjr0,224
dc.rights.accessRightsAcesso restrito
dc.sourceScopus
dc.subjectGroup psychotherapy
dc.subjectObsessive-compulsive disorder
dc.subjectPsychodramatic approach
dc.subjectPsychodynamic aspects
dc.subjectPsychotherapeutic treatment
dc.subjectpsychotropic agent
dc.subjectaggression
dc.subjectaggressiveness
dc.subjectbehavior therapy
dc.subjectBrazil
dc.subjectcognitive therapy
dc.subjectconflict
dc.subjectdouble technique
dc.subjectemotion
dc.subjectenvironmental exposure
dc.subjectexperience
dc.subjectfear
dc.subjectfemale
dc.subjectgroup dynamics
dc.subjectgroup therapy
dc.subjectguilt
dc.subjecthuman
dc.subjectmirror technique
dc.subjectobsessive compulsive disorder
dc.subjectoutcomes research
dc.subjectpatient compliance
dc.subjectpatient education
dc.subjectprescription
dc.subjectpsychiatry
dc.subjectpsychodrama
dc.subjectpsychodynamics
dc.subjectpublication
dc.subjectresidency education
dc.subjectrole inversion
dc.subjectrole playing
dc.subjectsearch for primary scenes technique
dc.subjectself esteem
dc.subjectshame
dc.subjectsocial isolation
dc.subjectstimulus response
dc.subjectsymptom
dc.titlePsicoterapia grupal no transtorno obsessivo-compulsivopt
dc.title.alternativeGroup psychotherapy for obsessive-compulsive disorderen
dc.typeArtigo
dcterms.licensehttp://www.scielo.br/revistas/jbpsiq/paboutj.htm
unesp.author.lattes3837157956819433[1]
unesp.author.lattes2169124595816290
unesp.author.lattes0537835246490556[3]
unesp.author.orcid0000-0003-1072-5008[1]
unesp.author.orcid0000-0003-2374-8890[3]
unesp.campusUniversidade Estadual Paulista (Unesp), Faculdade de Medicina, Botucatupt

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Artigos - Neurologia, Psicologia e Psiquiatria - FMB