Client #5 (Male, 15 Years Old, Single)

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Paradoxical Psychotherapy: A Practitioner’s Guide

Abstract

SA, a 15-year-old boy, came to the University of Tehran Clinic with his mother. The clinical interview based on DSM-5 (American Psychiatric Association, Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-V), American Psychiatric Publishing, Washington DC, 2013) with the patient and his mother confirmed the existence of a series of symptoms related to obsessive–compulsive disorder including obsessive thoughts and doubts, constant washing, orderliness, rituals for going to the bathroom, rituals for taking baths, and constantly checking the lamps and other electronic devices.

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Notes

  1. 1.

    In Islamic law, Wudu is a ritual which involves washing certain parts of the body before one says his/her prayers.

  2. 2.

    In Islamic law, taharat is a general title for several rituals which result in being religiously clean.

  3. 3.

    In Islamic law, nejasat refers to things or persons regarded as religiously unclean.

  4. 4.

    In Islamic law, things or persons may be unclean and still not be considered as Najis.

  5. 5.

    This phenomenon seems like the “contagion effect” in some psychological/learning processes. However, reducing this phenomenon, especially in the PTC model of treatment, to the “contagion effect” is lake of validity and accuracy for what has happened here. This can be better explained by what is called “ego strength” in PTC. Practical ability of the ego in the process of the PTC treatment (doing the tasks), aims the heart of the anxiety and distress, disintegrates conflictual dynamics, and processes new psychological powers in a new arrangement. Authority of the ego leaves no space for the anxiety and the pathological symptoms of the disorder. This phenomenon is an empirical evidence supporting fundamental changes in one of the basic structures of the personality (i.e., the Ego).

  6. 6.

    In Islamic law, Ghusl is a term referring to the full-body purification mandatory before the performance of various rituals and prayers, for any adult Muslim either after having sexual intercourse, having a wet dream, or masturbating with orgasm.

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Correspondence to Mohammad Ali Besharat .

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Besharat, M.A. (2023). Client #5 (Male, 15 Years Old, Single). In: Paradoxical Psychotherapy: A Practitioner’s Guide. University of Tehran Science and Humanities Series. Springer, Cham. https://doi.org/10.1007/978-3-031-27717-7_7

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