{"id":878,"date":"2021-03-12T11:37:00","date_gmt":"2021-03-12T11:37:00","guid":{"rendered":"https:\/\/damianruiz.eu\/2024\/?p=878"},"modified":"2021-03-12T11:37:00","modified_gmt":"2021-03-12T11:37:00","slug":"sobre-el-trastorn-obsessiu-toc-i-la-seva-terapia","status":"publish","type":"post","link":"https:\/\/damianruiz.eu\/ca\/sobre-el-trastorn-obsessiu-toc-i-la-seva-terapia\/","title":{"rendered":"Sobre el trastorn obsessiu (TOC) i la seva ter\u00e0pia"},"content":{"rendered":"

Porto anys tractant aquest trastorn de manera priorit\u00e0ria, a m\u00e9s d’uns altres, at\u00e8s que el centre que dirigeixo a Barcelona, l\u2019IPITIA (www.ipitia.com<\/a>) est\u00e0 especialitzat en TOC i Ansietat.<\/p>\n

Per tant, he continuat investigant i aprenent sobre els factors que intervenen en la causa, en la perman\u00e8ncia del problema i en la seva possible curaci\u00f3.<\/p>\n

Aquest article ve a ser una reflexi\u00f3 en veu alta sobretot aix\u00f2, sobre el que fonamenta i estructura aquesta psicopatologia.<\/p>\n

Tractar\u00e9 de plantejar-ho de manera senzilla, gaireb\u00e9 gr\u00e0fica, perqu\u00e8 pugui ser ent\u00e8s.<\/p>\n

Dividirem l’aparell ps\u00edquic en quatre estructures: cervell reptili\u00e0\u00a0 (instints), sistema l\u00edmbic (emocions), hemisferi esquerre (pensament racional i anal\u00edtic), hemisferi dret (pensament intu\u00eftiu i creatiu).<\/p>\n

\u00c9s una gran simplificaci\u00f3 per\u00f2, per al que vull explicar, serveix.<\/p>\n

Si hagu\u00e9s de definir amb una sola idea qu\u00e8 li passa a una persona que t\u00e9 TOC (Trastorn obsessiu compulsiu) ho resumiria en \u201cel seu cervell reptili\u00e0 est\u00e0 inhibit\u201d. \u00c9s a dir, est\u00e0 atrapat per la por i\/o per la culpa.<\/p>\n

I com va oc\u00f3rrer?<\/p>\n

Una gran majoria dels nostres pacients van sofrir circumst\u00e0ncies adverses en la inf\u00e0ncia o adolesc\u00e8ncia, del tipus ab\u00fas psicol\u00f2gic, f\u00edsic o sexual, assetjament escolar (bullying), situacions d’estr\u00e8s cr\u00f2nic com per exemple discussions cont\u00ednues a casa, separacions dram\u00e0tiques dels pares, etc.<\/p>\n

Qu\u00e8 van fer? D’alguna manera \u201ces van espantar\u201d o \u201ces van culpabilitzar\u201d i \u201cvan bloquejar\u201d la seva naturalesa instintiva, passant a partir d’aquest moment a pensar, perdent tot tipus d’espontane\u00eftat.<\/p>\n

Uns altres van ser sobreprotegits o \u201cabandonats\u201d de tal manera que no van aprendre a desenvolupar la seva naturalesa m\u00e9s prim\u00e0ria.<\/p>\n

A partir d’aquest moment, o m\u00e9s tard en el temps, davant qualsevol circumst\u00e0ncia o situaci\u00f3 estressant o adversa es veurien desprove\u00efts de la reacci\u00f3 m\u00e9s b\u00e0sica i, per tant, generarien un nivell d’ansietat molt elevat en tractar de donar resposta purament cognitiva (racional i l\u00f2gica) a tal situaci\u00f3.<\/p>\n

Passarien a pensar-ho tot, a analitzar-ho, a anticipar possibles situacions problem\u00e0tiques, i, per tant, a hiperactivar la ra\u00f3, allunyada de l’instint, i tamb\u00e9 de la intu\u00efci\u00f3. \u00c9s a dir, l’hemisferi dret s’infrautilitzaria, no s’activaria prou mitjan\u00e7ant l’entrenament en activitats pr\u00f2pies d’aquesta \u00e0rea i tot quedaria al servei del costat esquerre del cervell.<\/p>\n

Les persones amb TOC analitzen i comproven constantment, Per qu\u00e8? Perqu\u00e8 aquest bucle \u00e9s producte de l’ansietat generada per la no integraci\u00f3 d’una resposta purament anal\u00edtica i racional. No la integren perqu\u00e8 no est\u00e0 vinculada a l’instint, a l’emoci\u00f3 i ni tan sols a la intu\u00efci\u00f3.<\/p>\n

Poso l’exemple m\u00e9s com\u00fa i caracter\u00edstic: una persona heterosexual que ha desenvolupat l’obsessi\u00f3 a ser homosexual. Es pregunta una vegada i una altra, es comprova, analitza al detall totes les seves reaccions, a vegades es conven\u00e7 que ho \u00e9s, altres que no. Qualsevol element tan simple com que una persona del seu mateix sexe li ha semblat atractiu\/a ho converteix en la prova de la seva homosexualitat, per\u00f2 despr\u00e9s pensa que en realitat mai li han agradat les persones del seu sexe,…i aix\u00ed una vegada i una altra.<\/p>\n

Per\u00f2 per qu\u00e8 ha de comprovar-ho tant? Perqu\u00e8 les respostes no estan vinculades ni amb el desig (instint), ni amb l’emoci\u00f3, ni tan sols amb la fantasia en la creaci\u00f3 d’un relat rom\u00e0ntic o amor\u00f3s. I al no estar vinculat amb res d’aix\u00f2 no hi ha manera d’arribar a cap conclusi\u00f3, per tant es pot comprovar fins a l’esgotament.<\/p>\n

D’altra banda cal afegir que la societat contempor\u00e0nia presenta models d’home i dona no r\u00edgids. Els mitjans de comunicaci\u00f3 s’estan obrint, com ha de ser, a la pres\u00e8ncia de l’homosexualitat i la bisexualitat. Per\u00f2 per a aquelles persones que no tenen una estructura ps\u00edquica forta pot ser un motiu de confusi\u00f3.<\/p>\n

– Una anotaci\u00f3 sobre la predisposici\u00f3 gen\u00e8tica.<\/i><\/p>\n

Quan llegeixes o parles amb metges, bi\u00f2legs o especialistes en la naturalesa humana l’opini\u00f3 m\u00e9s estesa \u00e9s que la gen\u00e8tica predisposa per\u00f2 no condemna. \u00c9s a dir, per exemple, si una persona vulnerable a nivell d’aparell respiratori no fuma no t\u00e9 perqu\u00e8 desenvolupar una malaltia, en canvi, si ho fa, existeixen possibilitats m\u00e9s altes que li ocorri que en aquells que gen\u00e8ticament s\u00f3n forts en aquests \u00f2rgans-.<\/i><\/p>\n

Llavors, amb qu\u00e8 ens trobem en una persona amb TOC?<\/p>\n

Un cervell reptilia\u00e0 inhibit, un sistema l\u00edmbic temer\u00f3s, un hemisferi dret a penes activat i entrenat i un hemisferi esquerre mega desenvolupat. Tot aix\u00f2 \u00e9s una explicaci\u00f3 metaf\u00f2rica per\u00f2 serveix com a idea.<\/p>\n

I qu\u00e8 farem a nivell terap\u00e8utic?<\/p>\n

Desinhibir el reptili\u00e0, activar l’hemisferi dret, alliberar les emocions (l\u00edmbic) i d’aquesta manera compensar la tirania de la ra\u00f3 (h.esquerre).<\/p>\n

Haurem d’ajudar-lo a recuperar els instints (recuperaci\u00f3 del valor, comen\u00e7ant per l’assertivitat, territorialitat, posicionament en el clan, interacci\u00f3 lliure amb els cong\u00e8neres, alliberament del cos, etc), a connectar amb les emocions, a desenvolupar la intu\u00efci\u00f3 i la creativitat, i a utilitzar el pensament racional i anal\u00edtic exclusivament com a guia, com a tim\u00f3, de les decisions preses mitjan\u00e7ant l’instint i l’emoci\u00f3.<\/p>\n

Poso un exemple d’aix\u00f2: m’apassiona l’arquitectura (emoci\u00f3), no tinc por de fer aquests estudis (instint), crec que puc arribar a ser bo en aix\u00f2 (intu\u00efci\u00f3), puc ser creatiu\/a projectant (h.dret) i em posar\u00e9 a estudiar aquesta disciplina (h.esquerre).<\/p>\n

En resum, les persones que pateixen un trastorn obsessiu (TOC) estan atrapades en la por i\/o la culpa, la qual cosa genera una ansietat permanent que acaba manifestant-se en forma d’obsessions que, aparentment, no tenen resposta ni acte que acabi per calmar-les i fer-les desapar\u00e8ixer. Per qu\u00e8? Perqu\u00e8 no estan connectades ni amb l’instint, ni amb les emocions ni amb la intu\u00efci\u00f3. Qu\u00e8 cal fer? Ajudar al seu desenvolupament per a integrar la personalitat, l’\u00e9sser, fins que passi a ser alg\u00fa complet i raonablement equilibrat.<\/p>\n

 <\/p>\n

Dami\u00e1n Ruiz<\/p>\n

Autor de \u201cLiberar el mono, rescatar a la princesa\u201d\u201d (sobre el TOC)<\/p>\n

www.damianruiz.eu<\/p>\n

Barcelona, 11 de Mar\u00e7, 2021<\/p>\n","protected":false},"excerpt":{"rendered":"

Porto anys tractant aquest trastorn de manera priorit\u00e0ria, a m\u00e9s d’uns altres, at\u00e8s que el centre que dirigeixo a Barcelona, 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