Revisão dos resultados do tratamento comportamental da Neurose Obsessivo-Compulsiva crónica

Abstract

Twenty years after the revolution that exposure has brought to behavior therapy and following the work published by this Department in the last ten years, it would seem the proper moment to consider and revise the successes and the failures resulting from the application of this type of therapy (in vivo exposure, response prevention and modeling) to OCD. The author concludes that in a sample of 18 cases of ruminations, satiation emerges as a clinical advance in therapy, despite the persistence of clinical and methodological difficulties. In a series of 54 cases of NOC the results are 65% success at follow-up, with a relatively high percentage of refusals and drop-outs (24%), which is in conformity with the results usually obtained in other countries with identical samples. Analysing the causes of our failures has led to the implementation of measures which we will eventually lead to a reduction of those.