A Classical Adlerian psychotherapist does not focus primarily on the control of obsessive-compulsive symptoms, but on the unique individual who may be using those symptoms (or any other symptoms) in the service of a fictional final goal. Consequently, we would expect such symptoms (or even newly created symptoms) to persist until the individual gains sufficient insight and courage to pursue a new direction in life. Many hidden goals are impossible to achieve in the "main arenas" of life, provoking the bearers into imaginary "secondary arenas." Obsessive-compulsive behavior can provide relief from the perceived failure to succeed, as well as an excuse for avoiding a task that does not fit the hidden goal.
As long as the hidden goal and style of life (means of getting there) are not changed, there is a strong probability, that fighting symptoms will eat up a considerable amount of therapeutic time. Retaining the symptom, can even be used to gain an imagined victory over the therapist. It is also fascinating to look at the social impact of symptoms and see who is most affected. If symptoms change, it is frequently because the new one can be used as a more effective weapon in a conflict.
For additional information about Adler's view of compulsive behavior, read chapters 10 and 12 in The Individual Psychology of Alfred Adler, and chapters 7 and 10 in Superiority and Social Interest, edited by Heinz and Rowena Ansbacher. Also, read Classical Adlerian Theory and Practice at http://ourworld.compuserve.com/homepages/hstein/theoprac.htm and Stages of Classical Adlerian Psychotherapy at http://ourworld.compuserve.com/homepages/hstein/stages2.htm for an overview of the Classical Adlerian therapeutic process.
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