The obsessions of people with obsessive and compulsive personality structures can be in various areas. To give an example, if the person has an obsession with cleanliness and thinks that the place is dirty, touching or standing there may become a difficult situation for him/her. Doubt obsessions occupies the person's mind with thoughts such as whether I turned off the stove or unplugged the socket. Another obsession is sexual thoughts. Obsessions such as religious obsessions, symmetry obsessions, obsessions such as "I wonder if I should get up and straighten the painting on the wall, the carpet looks like it has shifted a little", counting obsessions, hoarding obsessions such as hoarding an object in case it will be needed in the future, unlucky numbers or unlucky colors are observed. There are also individuals who have aggressive obsessions. For example, he thinks that he will harm someone or that he will be harmed. His compulsive behaviors display multifaceted obsessive and compulsive situations such as cleaning, checking, arranging, repeating, counting, touching (fear of touching an object that he considers lucky or something bad will happen to him), hoarding (hoarding an object even though he does not need it). . Obsessions and compulsions often appear together. One of the most important issues for this disorder is the dichotomous way of thinking. In such a situation, moving away from the truth automatically leads to mistakes. At the same time, these problems they experience within themselves also affect their interpersonal relationships and cause problems. Because emotions are at the forefront in relationships and may not contain a definitive answer. The solutions these people come up with to events are to escape from emotions and uncertainty. Another impairment in OCPD is the imaginary thinking system. If a perfect way to solve the problem is not obvious to the person, they think that it would be more reasonable to do nothing and avoid making mistakes.
Psychotherapy of Obsessive Compulsive Personality Structures
Cognitive Behavioral Therapy
It is observed that obsessive patients escape from the thoughts that cause them anxiety and this sequence of thoughts and try to cope by avoiding them. But this is the way to avoid thoughts. The problems are increasing even more, thus trapping them in a vicious circle. The aim of behavioral treatments is to make the patient question the train of thought that causes anxiety and causes avoidance behaviors because it arouses anxiety, and to prevent repetitive attitudes that automatically come into play to reduce the anxiety created by this questioning. In this method, which we call habituation therapy, the aim is to extinguish the anxiety created by the disturbing thought and to ensure the formation of a habitual state.
The aim of cognitive treatments is to reduce the perception of responsibility created by dirty, disturbing, disturbing thoughts. When there is no perception of responsibility, patients will not feel inclined to engage in repetitive behaviors to neutralize bad thoughts that come to mind. The primary aim here is to try to reduce the perception of thoughts as real. For this reason, the extent to which the perceptions of danger and excessive responsibility are realistic in the treatment and the extent to which exaggerated perceptions of threat and danger arise as a result of thought errors should be the subject of research with the individual. After the cognitive errors are identified, these thoughts, which are not functional enough, should be restructured and replaced with more realistic and functional ones. Patients who think that their thoughts will result in destruction are specifically asked to bring these thoughts to mind instead of stopping them, and then seeing that the results they fear do not occur provide significant benefits by continuing treatment-related therapy.
Cognitive and behavioral therapies are used both in the treatment of the disorder and especially in preventing recurrences. It has a very important place; in some cases, only medication is used in the treatment, while in other cases, medication plus psychotherapy is used.
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