Abstract
This paper describes the process of psychotherapy in two Chinese patients with obsessive-compulsive disorder. One of them suffered from compulsive checking and counting, and the other obsessional anxiety. Both of them had a long history of depression and traumatic experiences. The combination of exposure to anxiety-provoking situations and compulsion prevention together with assertiveness training were effective for the treatment of one of the patients. Based on observations of the two cases, it is hypothesized that the ego of obsessive-compulsives is distorted and attenuated by dysfunctional beliefs, which are related to a sense of self-denigration and an emotional schema - consisting of negative automatic thoughts and emotions.
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