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The treatment of obsessive-compulsive disorders with a behavioural therapeutic program consisting of response prevention has proved to be rather successful. A prospective study of the potentialities of predicting the outcome of such a treatment program is described. The results of this research could possibly lead to the development of a decision model for use in the treatment of obsessive-compulsive neurosis.
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A controlled clinical study was conducted of 25 girls and boys (mean age: 12;7 years) with obsessive-compulsive disorders and 26 patients (mean age: 13;4 years) with other neurotic disorders. None of the subjects had any organic brain disorders. The question addressed was whether there are any EEG findings specific to the group of patients with obsessive-compulsive disorders, as several authors have reported. The EEG frequency analyses (power spectra) showed abnormal findings (fronto-temporal dysfunction and/or electrobiologically delayed maturation) in two thirds of the subjects with obsessive syndromes. The difference between the two groups was not significant, however. Thus the hypothesis of specific EEG patterns in obsessive-compulsive disorders could not be supported.
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Perspectivity and time are central terms of the process of cognition in the phänomenological philosophy and anthropology. In this context, "perspective"' means the terms of freedom, act, orientation and sense. The "world of obessional neurotic" however is characterized by the lack of intersubjective relations, by loss of orientation and senselessness. The time, which the obessional neurotic experienced not as continual protention, but by compulsive rituals and compulsions of control, did deprive him of each liberal relation to future. From this context implications for a psychotherapeutic relation can be derived.