[Family dynamics and family therapy of obsessive-compulsive disorder].
Obsessive-compulsive disorders and behaviours characterising an anancastic personality disorder have a direct interpersonal impact. Conflicts of subjects with OCD are often focussed on control and submission, order and cleanliness, a technical-signal processing cognitive style and insecure self-object-boundaries. In the patients families obsessive compulsive disorders and behviours, restrictions in the development of autonomy and a controlling parenting style are often to be found. Unsecure attachment is discussed as one possible contribution to the development of OCD. Relatives are often involved in obsessive-compulsive symptoms. The psychosocial burden on them is often considerable. The inclusion of the family into the treatment of children and adolescents improves treatment results.
Reich
Günter
G
Abteilung für Psychosomatische Medizin und Psychotherapie, Universität Göttingen. greich@gwdg.de
D000293:Adolescent; D002648:Child; D016241:Child of Impaired Parents / Q000523:psychology; D003193:Compulsive Personality Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D005196:Family Therapy / Q000379:methods*; D005260:Female; D006801:Humans; D007207:Individuation; D008297:Male; D009769:Object Attachment; D009771:Obsessive-Compulsive Disorder / Q000175:diagnosis / Q000523:psychology / Q000628:therapy*; D016487:Parenting / Q000523:psychology*; D012931:Social Environment