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Child with OCD
Such as the mother who washes the handles of the house because the child with OCD think they are contaminated
Husband that checks whether the lock is switched with OCD because the wife is already laid to sleep, the mother who takes her daughter with somatic obsessions for various medical check if she is sick, etc.
From the moment that the family participates directly in the symptom, providing conditions for the patient to perform the compulsion, you are reinforcing this symptom, although not realize their attitude and their consequences.
Steele et al. reported that the level of family accommodation (IAF) is related to the degree of wear family the disease, to be expected, therefore, that the IAF is higher in families with more severe patients, resistant or refractory.
However, the above study allows discussion of reverse causality: that the condition of resistance / refractoriness due to its and severity, eventually "get tired" patients and families, making them more "accommodated"
To this condition, or the accommodation family is really a factor that hinders an adequate response to the treatment of OCD.
Another factor that may relate to aspects of family functioning is the level of hostility perceived by the patient in relation to how their families deal with their symptoms.
The same way as in family accommodation, previous studies have correlated high levels of perceived hostility worst performing therapeutic, especially in behavior therapy a longitudinal study that the perception of family hostility influenced by the patient in response to exposure treatment, and those patients who lived in the most hostile environments and who reported feelings of sadness because of the high level of criticism had higher anxiety levels during the sessions.
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