The OCD Stories Dr Michael Greenberg: OCD as a defense mechanism (#489)
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Jun 8, 2025 In this insightful discussion, Dr. Michael Greenberg, a clinical psychologist specializing in Rumination-Focused ERP, shares his expertise on OCD as a defense mechanism. He delves into the significance of childhood experiences and attachment in shaping behavior. The conversation also explores the interplay between psychoanalysis and exposure therapy, advocating for a dual approach to treatment. Additionally, Michael emphasizes the human aspects of parenting and clear communication, reminding us that mistakes can foster growth and understanding in relationships.
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How We Learn to Digest Feelings
- Feeling understanding and acceptance by a caregiver helps infants learn to digest and integrate feelings.
- Without this, feelings remain unclear or rejected, causing emotional difficulties and defense mechanisms.
OCD as Defense Mechanism
- OCD symptoms function as defense mechanisms displacing feelings into symbolic obsessions.
- Compulsions act as undoing behaviors to neutralize these unconscious emotional conflicts.
Meaning Behind OCD Content
- Obsession content is metaphorically important but not the actual problem.
- Underlying unconscious feelings cause OCD symptoms, not the literal obsession content.