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A dialogical approach to obsessions.

R S Hallam1, K P O'Connor

  • 1Department of Psychology, University of Greenwich, London, UK.

Psychology and Psychotherapy
|October 25, 2002
PubMed
Summary
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This study contrasts cognitive and dialogical approaches to understanding obsessive compulsive disorder (OCD). The dialogical view sees obsessions as internal dialogues, offering a new therapeutic focus on narrative and voice.

Area of Science:

  • Psychology
  • Psychiatry
  • Linguistics

Background:

  • Obsessive compulsive disorder (OCD) is often conceptualized through an information-processing metaphor.
  • This perspective contrasts with a dialogical approach that views obsessions as internal dialogues or 'voices'.

Purpose of the Study:

  • To contrast cognitive and dialogical perspectives on understanding obsessions in OCD.
  • To explore the utility of the dialogical approach in explaining the paradoxical nature of obsessions.
  • To highlight the therapeutic implications of a dialogical framework for OCD treatment.

Main Methods:

  • The study contrasts existing cognitive models with a dialogical framework.
  • It analyzes obsessions as 'one-sided conversations' or narratives.
  • It examines how individuals describe their obsessions using dialogical terms (e.g., voice, argument).

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Main Results:

  • The dialogical approach explains obsessions as self/other generated and varying in perceived senselessness.
  • Individuals frequently describe their obsessions using dialogical language.
  • This framework accommodates the paradoxical nature of obsessions effectively.

Conclusions:

  • The dialogical approach offers a complementary perspective to cognitive models of OCD.
  • Therapeutic interventions can focus on the narrative power and language of obsessions.
  • Dialogical therapy utilizes role-play and narrative techniques, shifting focus from cognitive biases.