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Marital interaction in persisting obsessive-compulsive disorders

R J Hafner

    The Australian and New Zealand Journal of Psychiatry
    |September 1, 1982
    PubMed
    Summary
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    Obsessive-compulsive disorder (OCD) treatment often fails in married individuals due to marital conflict. Spouse-aided therapy, involving the partner, offers a novel approach for persistent OCD cases.

    Area of Science:

    • Psychiatry
    • Clinical Psychology
    • Family Therapy

    Background:

    • Modern behavior therapy is often ineffective for over 50% of severe, persistent obsessive-compulsive disorders (OCD).
    • The marital dynamics of patients may explain treatment failures in a significant subset of individuals with OCD.
    • Treating OCD symptoms in isolation can be counterproductive when symptoms serve to displace marital dissatisfaction.

    Observation:

    • Obsessive-compulsive symptoms can develop or persist as a way to avoid overt marital conflict.
    • In such cases, focusing solely on symptom reduction may inadvertently reinforce the symptoms as a focal point for relationship dissatisfaction.
    • Marital therapy is frequently not a viable or effective option for these couples.

    Findings:

    • Five case studies of married women with persistent OCD illustrate the challenges of standard treatment.

    Related Experiment Videos

  • A novel treatment model, spouse-aided therapy, is proposed.
  • This approach integrates the patient's spouse as a co-therapist or agent of change.

    • Implications:

    • Spouse-aided therapy may offer a more effective treatment paradigm for severe, persistent OCD in married individuals.
    • Understanding the role of marital interaction is crucial for developing successful OCD treatment strategies.
    • This model highlights the potential benefits of involving family members in the therapeutic process for complex mental health conditions.