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Departement of psychology,Faculty of education and psycholoy,university of tabriz,Iran. , babapourj@yahoo.com
Abstract: (169 Views)
Background: Considering the feeling of guilt and the level of emotional inhibition in obsessive-compulsive patients as emotional variables and extreme responsibility as a cognitive dimension, the use of therapeutic strategies that can focus on the underlying obsession (anxiety) can inhibit a part of this inhibited and internal emotion is a fundamental necessity that can be treated with short-term psychodynamic approaches.
Aims: This study aimed to determine the effectiveness of intensive short-term dynamic psychotherapy on guilt, emotional inhibition, and excessive responsibility in people with obsessive-compulsive disorder.
Methods: The present study is a quasi-experimental study of single-subject A-B-A designs. The first stage of this design was (A) baseline, the second stage (B) was the intervention stage, and after the completion of the intervention phase, the follow-up stage (A) was performed. The statistical population included all people with obsessive-compulsive disorder (OCD) referred to counseling and psychology centers in the 7th district of Tehran during the period from March 2023 to April 2023, and 5 people from the community who met the inclusion criteria of the study were selected using purposive sampling method and responded to the Guilt Inventory Kugler & Jones (1992), emotional inhibition Kellner's (1986) and California Responsibility Questionnaire (1984) They gave it to them. Intensive short-term dynamic psychotherapy (Davanloo, 1997) was performed by the researcher in 10 sessions of 45 minutes for each patient. In the baseline stage, the participants answered the questionnaire questions in psychotherapy sessions (second, fourth, sixth, eighth, and tenth sessions) and follow-up sessions (45 days after treatment). To analyze the data, the visual drawing method, percentage of remission, trend change indices, and slope were used for each patient and the trend of changes of each variable during the sessions was displayed on the chart separately. The percentage of improvement and effect size were also used for clinical significance.
Results: The results of statistical analysis showed that intensive and short-term dynamic psychotherapy was effective on feelings of guilt (with an overall recovery rate of 53%), emotional inhibition (with an overall recovery rate of 64%), and extreme responsibility (with an overall recovery rate of 33%) with moderate effect sizes for guilt and emotional inhibition and a weak effect size for excessive responsibility in people with OCD (P< 0.05). The results showed that the size of the intervention on guilt was more than the other two variables.
Conclusion: According to the results of this study, intensive and long-term dynamic psychotherapy facilitates a deeper understanding of emotional experiences, stimuli, and disturbing patterns and the ability to tolerate them in patients with obsessive-compulsive disorder. Therefore, it is suggested that intensive short-term dynamic psychotherapy be used to reduce feelings of guilt and improve emotional inhibition and excessive responsibility in patients with OCD.
Aims: This study aimed to determine the effectiveness of intensive short-term dynamic psychotherapy on guilt, emotional inhibition, and excessive responsibility in people with obsessive-compulsive disorder.
Methods: The present study is a quasi-experimental study of single-subject A-B-A designs. The first stage of this design was (A) baseline, the second stage (B) was the intervention stage, and after the completion of the intervention phase, the follow-up stage (A) was performed. The statistical population included all people with obsessive-compulsive disorder (OCD) referred to counseling and psychology centers in the 7th district of Tehran during the period from March 2023 to April 2023, and 5 people from the community who met the inclusion criteria of the study were selected using purposive sampling method and responded to the Guilt Inventory Kugler & Jones (1992), emotional inhibition Kellner's (1986) and California Responsibility Questionnaire (1984) They gave it to them. Intensive short-term dynamic psychotherapy (Davanloo, 1997) was performed by the researcher in 10 sessions of 45 minutes for each patient. In the baseline stage, the participants answered the questionnaire questions in psychotherapy sessions (second, fourth, sixth, eighth, and tenth sessions) and follow-up sessions (45 days after treatment). To analyze the data, the visual drawing method, percentage of remission, trend change indices, and slope were used for each patient and the trend of changes of each variable during the sessions was displayed on the chart separately. The percentage of improvement and effect size were also used for clinical significance.
Results: The results of statistical analysis showed that intensive and short-term dynamic psychotherapy was effective on feelings of guilt (with an overall recovery rate of 53%), emotional inhibition (with an overall recovery rate of 64%), and extreme responsibility (with an overall recovery rate of 33%) with moderate effect sizes for guilt and emotional inhibition and a weak effect size for excessive responsibility in people with OCD (P< 0.05). The results showed that the size of the intervention on guilt was more than the other two variables.
Conclusion: According to the results of this study, intensive and long-term dynamic psychotherapy facilitates a deeper understanding of emotional experiences, stimuli, and disturbing patterns and the ability to tolerate them in patients with obsessive-compulsive disorder. Therefore, it is suggested that intensive short-term dynamic psychotherapy be used to reduce feelings of guilt and improve emotional inhibition and excessive responsibility in patients with OCD.
Keywords: The Effectiveness of Intensive Short-term Dynamic Psychotherapy, Guilt, Emotional Inhibition and Extreme Responsibility, People with Obsessive Compulsive Disorder
Type of Study: Research |
Subject:
Special
Received: 2025/04/18 | Accepted: 2025/06/21 | Published: 2026/03/21
Received: 2025/04/18 | Accepted: 2025/06/21 | Published: 2026/03/21
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