Abstract

SILVA, José Leonardo Neves e  and  DE-FARIAS, Ana Karina Curado Rangel. Molar functional analyses associated to acceptance and commitment therapy in a case of obsessive-compulsive disorder. Rev. bras. ter. comport. cogn. [online]. 2013, vol.15, n.3, pp. 37-56. ISSN 1517-5545.

Obsessive-Compulsive Disorder (OCD) is a psychiatric disorder characterized by obsessions and compulsions, with losses in social, family and labor contexts. This study aimed to show the relevance of molar functional analyses associated to ACT interventions, illustrating it with a case of OCD. Along 68 sessions, it has been possible to identify ample behavior patterns of aggressive communication, search for control and verbal argumentation skills, functionally related to OCD symptoms, as well as ample sensitivity to social/verbal contexts of literality and reason giving, leading to a strong pattern of experiential avoidance. Understanding of current and historical contingencies led to the acceptance of aversive private states and commitment to the exposure to therapeutic contexts, in order to weaken behaviors that were functionally related to the obsessive-compulsive ones, but less emotionally relevant, which led to weakening of OCD symptoms and improvements in relationships with relatives and coworkers.

Keywords : obsessive-compulsive disorder; Clinical Behavior Analysis; molar functional analyses; Relational Frame Theory; Acceptance and Commitment Therapy.

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