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Spontaneous Strategies in Seeking Egossintonia Reported by Patients with OCD Outpatient Service at a General Hospital: a Qualitative Study

Published online by Cambridge University Press:  15 April 2020

E.R. Turato ,
M.P.B.L. Bastos ,
G. Lavorato Neto  and
B.J. Mattos
E.R. Turato
Affiliation:
Medical Psychology and Psychiatry, State University of Campinas, CampinasBrazil
M.P.B.L. Bastos
Affiliation:
Medical Psychology and Psychiatry, State University of Campinas, CampinasBrazil
G. Lavorato Neto
Affiliation:
Medical Psychology and Psychiatry, State University of Campinas, CampinasBrazil
B.J. Mattos
Affiliation:
Medical Psychology and Psychiatry, State University of Campinas, CampinasBrazil

Abstract

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The Obsessive-Compulsive Disorder (OCD) is characterized by the experience of ruminative thoughts and/or the compulsive performance of rituals, with interference in activities.

Objective

to understand psychologically reports from outpatients in psychiatric treatment, diagnosed with OCD, in the search of developmentof strategies aiming egossintonia.

Samplingand Method

intentional sampling of nine outpatients from psychiatric service, enclosed by theoretical saturation. Clinical-qualitative outline, with semi-directed interviews withopen-ended questions. Fluctuating readings in search of units of meaning forthe categorization of the data.

Resultsand Discussion

five categories have emerged: (1) Control: the outpatient, in order to avoid anxiety, developsthe strategy of control, with a detailed planning of activities. (2) Socialisolation: diminishment of the social interaction due to the embarrassment ofperforming rituals in public. (3) Face-off: performance of activities in spite of rituals. (4) Rationalization: elaboration of forged explanations which dissemble obsessive ideations or rituals in order to attenuate psychic distressand social difficulties. (5) Dependence: search of involvement of other personsin the rituals, causing them to be less exhausting.

Conclusion

as the OCD impacts the outpatients’ quality of life, adaptation strategies are sought so as to minimize the discomfort. The awareness of such fact by health care providers enables greater empathy, leading to better adherence to treatments.

Keywords: obsessive compulsive disorder; ego-syntonic behavior; qualitative research.

Type
Article: 1500
Information
European Psychiatry , Volume 30 , Issue S1: Abstracts of the 23rd European Congress of Psychiatry , March 2015 , pp. 1
Copyright
Copyright © European Psychiatric Association 2015
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