Augmenting Treatment of Obsessive‐Compulsive Disorder With Antonovsky's Sense of Coherence Theory

摘要: TOPIC. The complex nature of obsessive compulsive disorder (OCD) necessitates a multifaceted approach to treatment. PURPOSE. To examine Antonovsky's sense coherence theory as framework for psychotherapy optimize treatment/or individuals with OCD. SOURCES. Selective literature review. CONCLUSIONS. provides theoretical understanding the multiple pathways by which cognitive behavioral therapy can maintain and improve outcomes people struggling Search terms: o/coherence theory, therapy, neural/behavioral habituation, obsessive-compulsive ********** Epidemiological studies indicate that 1% 3% adult population has (OCD), making it one most common mental health problems (Bebbington, 1998). Further, co-morbid conditions including anxiety disorders, Tourette's syndrome, major depressive disorder--are seen in up 66% OCD, significantly complicating diagnosis (Greist, With advances pharmacotherapy (primarily clomipramine selective serotonin reuptake inhibitors), prognosis OCD improved (Hohagen & Berger, However, large number continue be resistant or refractory Even when acute symptom relief is accomplished via pharmacotherapy, residual psychological functioning often remain. This article explores potential utility (1987a) (SOC) optimizing enduring positive increasing feelings self-efficacy, mastery, controllability, reducing vulnerability life stress chronic recurrence. Through maximizing SOC, extent durability response treatment strengthened. Cognitive (CBT) incorporating principles SOC proposed facilitate long-term clinical outcomes. Theory Description Influenced information (1987a, 1987b) construct evolved from his efforts understand resources their link health. He viewed disease opposing poles continuum, anchored pathogenesis (negative pole) salutogenesis (positive pole). pathogenic orientation--the traditional model psychiatric treatment--emphasizes distress. salutogenic orientation, focus facilitates progression toward well-being (Antonovsky, 1987a). person an dynamic feeling confidence one's internal external stimuli are predictable explicable (comprehensibility), available meet demands posed (manageability), these challenges worthy investment engagement (meaningfulness). Meaningfulness, motivational component, crucial, providing drive enhance world at disposal. Comprehensibility next importance, manageability contingent on In addition defining key concepts Antonovsky described specific appraisal process through operates (Lazarus, 1984). During primary I, stimulus reaches brain defined stressor nonstressor. strong more likely define nonstressor, therefore will not experience tension its transformation into stress. II, judged endangering well-being, having effect, benign. Secondary involves selection appropriate coping and, mobilized, engendering feedback. …