Interpersonal disturbance in OCD and its place in the professional consultation

2004 ◽  
Vol 21 (3) ◽  
pp. 104-109 ◽  
Author(s):  
John O'Connor ◽  
Ray Fuller ◽  
Mary Fell
Keyword(s):  
Social Interactions ◽  
Professional Relationships ◽  
Magical Thinking ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Cognitive Behavioural ◽  
Fear Of Rejection ◽  
High Level ◽  
Interpersonal Disturbance ◽  
Disturbed Relationships

AbstractPeople with obsessive-compulsive disorder (OCD) typically experience their relationships with others with a high level of trepidation and bring their anxieties into their work with professionals. We have written this paper to describe experiences of working with people with diagnoses of OCD and the impression that we have formed about the kinds of relationship that builds up in the early stages of this work. We believe that it is important to consider the quality of these professional relationships because of their impact on the patient's ability to benefit from whatever intervention we propose. Here, we place particular attention on the roles of magical thinking, disturbed relationships and the fear of rejection. The perspective presented here is designed to complement those of other approaches to OCD – including the neurological, behavioural and cognitive-behavioural. The following themes relating to the social and interpersonal experiences of people with OCD are examined here: (a) their general tentativeness and uncertainty in social interactions, (b) their fear of being damaged by others in social interactions, (c) their magical thinking relating to damaging others.

The treatment of magical ideation in two individuals with obsessive compulsive disorder

2010 ◽  
Vol 4 (1) ◽  
pp. 16-29 ◽  
Author(s):  
Danielle A. Einstein ◽  
Ross G. Menzies ◽  
Tamsen St Clare ◽  
Juliette Drobny ◽  
Fjola Dogg Helgadottir
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Video Clip ◽  
Magical Thinking ◽  
Behaviour Therapy ◽  
Obsessive Compulsive ◽  
Magical Ideation ◽  
Obsessive Compulsive Symptoms ◽  
Compulsive Disorder ◽  
Mediating Role ◽  
Pre Treatment

AbstractData collected from clinical populations indicate that magical ideation (MI) may play a causal or a mediating role in the expression of obsessive compulsive symptoms. If this is the case then when targeted in treatment, symptoms of obsessive compulsive disorder (OCD) should be altered. Two individuals diagnosed with OCD received a trial treatment targeting magical thinking. The intervention consisted of a series of procedures designed to undermine superstitious/MI without targeting obsessions or compulsions. The procedures involved critical analysis of the following material: (1) a free astrology offer; (2) a horoscope prediction exercise; (3) a description of four different cultural explanations of the origin of fire; (4) an instructive guide for Tarot card readers; (5) a report of a UFO sighting; (6) a video-clip describing a cult festival; (7) a description of a ‘hoax’ channeler and (8) a superstition exercise. Measures of obsessive compulsive symptoms, superstition, MI and thought–action fusion were administered pre-treatment, post-treatment and at 3 months’ follow-up. According to the twofold criterion of Jacobson et al. (Behaviour Therapy 1984, 15, 336–352), following treatment the patients were identified as being recovered on measures of magical and superstitious thinking and on the Padua Inventory.

The role of parenting and parental criticism on the body image and alexithymia during adulthood and emerging adulthood

2021 ◽  
Vol 8 (2) ◽  
pp. 630-647
Author(s):  
Pellerone Monica ◽  
Torvisco Juan Martinez ◽  
Scaduto Elena Velianna ◽  
Pistillo Maria
Keyword(s):  
Body Image ◽  
The Body ◽  
Obsessive Compulsive ◽  
Parental Criticism ◽  
Compulsive Disorder ◽  
Negative Results ◽  
Adolescents And Adults ◽  
Multiple Variables ◽  
Paternal Control ◽  
High Level

Literature underline that the perception of parents as strongly critical can influence the tendency to self-criticize and, as a consequence, to be more vulnerable in manifesting problems in the developmental and adulthood age, such as the risk of dropouts and relapses in the eating disorders, negative results in the worsening of anxiety disorders, the possible presence of alexithymia or obsessive compulsive disorder. The purposes of the present study was to investigate the possible influence of parenting style and parental criticism on both the body image construct (body care, body protection, and comfort in touch) and the possible presence of alexithymia in a group of Italian adolescents and adults. The present study was conducted on a group of 140 subjects, aged between 19 and 36 (M = 24.71; SD = 5.11), of which 59 men (42.1%) and 81 women (57.9%). The participants were assigned to complete the following questionnaires: Parental Bonding Instrument, Twenty-Item Toronto Alexithymia Scale, Perceived Criticism Inventory, and Body Checking Questionnaire. The results of this study support the research hypothesis that low age, a high level of paternal control and parental criticism can predict a high level of difficulty in communicating feelings. Furthermore, the importance attributed to appearance can be predicted by multiple variables, such as gender, age, mother care, father control and parental hypercriticism.

Before you meet someone with obsessive-compulsive disorder: understanding the problem

2017 ◽  
pp. 1-50
Author(s):  
Victoria Bream ◽  
Fiona Challacombe ◽  
Asmita Palmer ◽  
Paul Salkovskis
Keyword(s):  
Obsessive Compulsive Disorder ◽  
Current Knowledge ◽  
Evidence Base ◽  
Background Information ◽  
Clear Understanding ◽  
Obsessive Compulsive ◽  
Case Examples ◽  
Compulsive Disorder ◽  
Recommended Treatment ◽  
Cognitive Behavioural

This chapter provides detailed background information on obsessive-compulsive disorder (OCD) that will give the therapist a clear understanding of current knowledge about the context and causes of this problem. Research evidence on the epidemiology of OCD, impact, and causal factors is presented. Here we introduce the cognitive-behavioural model of OCD, offering a discussion of the key elements of this model. The chapter will also include case examples to illustrate different manifestations of OCD (including contamination, checking, rumination, just-right feelings) and common processes that are key in the maintenance of obsessional problems (for example, reassurance-seeking and magical thinking). This chapter reviews the evidence base for the treatment of OCD, including medication, and identifies cognitive-behavioural therapy (CBT) as the recommended treatment.

scholarly journals Exploring aspects of the cognitive behavioural model of physical hoarding in relation to digital hoarding behaviours

2019 ◽  
Vol 5 ◽  
pp. 205520761988217
Author(s):  
Susan Thorpe ◽  
Alexander Bolster ◽  
Nick Neave
Keyword(s):  
Regression Analysis ◽  
Obsessive Compulsive Disorder ◽  
Online Survey ◽  
Future Research ◽  
Emotional Attachment ◽  
Positive Relationships ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
Behavioural Model ◽  
Cognitive Behavioural

While the hoarding of physical objects has been extensively explored, there is little research relating to the hoarding of digital materials. The research that has been conducted suggests that digital hoarding (DH) behaviours appear to have some similarities with physical hoarding (PH) behaviours, and can be just as psychologically distressing. This study uses the framework of the cognitive behavioural model of PH to explore DH behaviours, including possible similarities regarding emotional attachment to digital possessions, and possible links with Obsessive Compulsive Disorder (OCD) and indecisiveness. For the study, 282 participants completed an online survey which measured levels of digital and physical hoarding, compulsive acquisition, OCD, indecisiveness and mood. Strong emotional attachments to particular types of digital possessions were evident: this was especially true for photographs and videos. Significant positive relationships were found between all the variables measured. However, a regression analysis revealed that only OCD and PH scores were significant predictors of DH. DH thus appears to share some of the features of PH. Implications, limitations and future research possibilities are discussed.

scholarly journals The Subthalamic Nucleus: Unravelling New Roles and Mechanisms in the Control of Action

2018 ◽  
Vol 25 (1) ◽  
pp. 48-64 ◽  
Author(s):  
Tora Bonnevie ◽  
Kareem A. Zaghloul
Keyword(s):  
Deep Brain Stimulation ◽  
Basal Ganglia ◽  
Subthalamic Nucleus ◽  
Action Control ◽  
Brain Disorders ◽  
Obsessive Compulsive ◽  
Compulsive Disorder ◽  
High Level ◽  
Deep Brain

How do we decide what we do? This is the essence of action control, the process of selecting the most appropriate response among multiple possible choices. Suboptimal action control can involve a failure to initiate or adapt actions, or conversely it can involve making actions impulsively. There has been an increasing focus on the specific role of the subthalamic nucleus (STN) in action control. This has been fueled by the clinical relevance of this basal ganglia nucleus as a target for deep brain stimulation (DBS), primarily in Parkinson’s disease but also in obsessive-compulsive disorder. The context of DBS has opened windows to study STN function in ways that link neuroscientific and clinical fields closely together, contributing to an exceptionally high level of two-way translation. In this review, we first outline the role of the STN in both motor and nonmotor action control, and then discuss how these functions might be implemented by neuronal activity in the STN. Gaining a better understanding of these topics will not only provide important insights into the neurophysiology of action control but also the pathophysiological mechanisms relevant for several brain disorders and their therapies.

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