Introduction to the Special Issue: Complexities and New Developments in Adolescent Obsessive-Compulsive Related Disorders

2018 ◽  
Vol 17 (4) ◽  
pp. 191-194
Author(s):  
Fugen Neziroglu ◽  
Dean McKay

As readers of this special issue will see, the treatments provided in the Obsessive-Compulsive Related Disorder (OCRD) cases described are highly varied. The unifying feature would be better described as an age group rather than a breakdown in inhibitory control as speculated to be the primary unifying mechanism in the OCRD. It is encouraging that effective treatments are emerging for adolescents with OCRDs. Providers will do well to recognize that the appearance of the OCRD does not imply that a treatment for one disorder (i.e., exposure with response prevention [ERP] for OCD) will necessarily also provide relief for another condition in this class (i.e., for Trichotillomania [TM] or Hoarding Disorder [HD]). Instead, given the heterogeneity of these disorders, it comes as little surprise that the interventions are also varied, and providers will require training in a wide range of interventions embedded in sound clinical conceptualization (i.e., Tolin, 2016). It is hoped that these cases will spark additional research on clinical presentations of adolescents with OCRDs.

2017 ◽  
Author(s):  
Christine Lochner ◽  
Dan Stein ◽  
Eileen Thomas

Hoarding disorder is characterized by an obsessive need to acquire, collect, or keep possessions and difficulty in organizing and discarding, resulting in accumulation of clutter, which elicits great concern from family and friends. Functioning is usually impaired in a variety of domains. Obsessive-compulsive disorder is the disorder most closely associated with hoarding. Overvalued ideation regarding the value or usefulness of possessions may make it impossible for individuals to discard items. This review contains 1 table, and 22 references. Key words: clutter, diagnostic and statistical manual, etiology, hoarding, obsessive-compulsive and related disorder


2016 ◽  
Vol 3 (4) ◽  
Author(s):  
Hemant Kumar

In Obsessive compulsive disorder (OCD) a wide range of symptoms are seen, along with different responses to treatment, this has pointed to the direction that OCD is more heterogeneous than thought before and clinically different subtypes of OCD exist. This article presents a wide variety of symptoms dimension seen in OCD with many pioneering and important work done in this area. The different clinical presentations of patients with OCD have also been seen. The heterogeneity and the vastness of the symptoms of this disorder could lead to new breakthroughs and pathways in our current understanding of OCD.


Author(s):  
Renu Rattan ◽  
Gita R. Tegta ◽  
Anuj Sharma ◽  
Meena Chauhan

Background: Leprosy is a chronic disease caused by Mycobacterium leprae, which is a non culturable, slowly multiplying bacillus. The incubation period is variable and may take as long as twenty years for the symptoms to appear. It mainly affects the skin and peripheral nerves, but has a wide range of clinical presentations. The disease is associated with deformities and social stigma. Methods: Records of Hansen’s disease patients from January 2007 to December 2016 were taken and analysed retrospectively. A total of 288 patients were registered during this period. Results: Out of 288 registered patients, 78.8% were males and 21.2% were females. Maximum number of patients (62.15%) was in the age group of 20-40 years. Multibacillary patients constituted 86.11% and only13.88% were paucibacillary patients. 66.66% patients had grade 0 deformities, 22.56% had grade 1 deformities and 10.76% had grade 2 deformities. Conclusions: The study recommends that continuous efforts should be made for early detection of cases to prevent spread of disease in the community and to avoid development of deformities. 


Author(s):  
Jill Ehrenreich-May ◽  
Sarah M. Kennedy ◽  
Jamie A. Sherman ◽  
Emily L. Bilek ◽  
Brian A. Buzzella ◽  
...  

Chapter 10 introduces the Unified Protocol for Transdiagnostic Treatment of Emotional Disorders in Children (UP-C). This is also called the “Emotion Detectives” program, which reflects the guiding treatment metaphor: teaching children to “solve the mystery of their emotions,” as detectives might. The UP-C is intended to reduce the intensity and frequency of symptoms common to youth with emotional disorders by using core evidence-based treatment strategies in a broad manner that applies to a wide range of aversive emotional experiences characteristic of youth emotional disorders (i.e., anxiety, depression, other internalizing disorders). Many anxiety, depression, adjustment, traumatic stress-related, or obsessive-compulsive or related disorders would be appropriate targets for this intervention. The UP-C is intended for children between the ages of 7 and 13, although children slightly above or below this age group may benefit from this format.


2021 ◽  
pp. 63-86
Author(s):  
Blaise Worden ◽  
David F. Tolin

This chapter discusses the nature and clinical characteristics of hoarding disorder, a debilitating condition that runs a chronic course without treatment and can lead to significant functional impairment and cost to society. Prevalence estimates for hoarding disorder range from 1.5% to 6% of the general population, and it tends to co-occur with depressive and anxiety disorders. In the DSM-5, hoarding disorder was differentiated from obsessive-compulsive disorder, primarily because of the pronounced differences from OCD in terms of treatment response and phenotype. However, HD remains classified as an obsessive-compulsive and related disorder. This chapter covers the etiology of hoarding disorder across biological and psychological determinants. In addition to the nature of symptoms, contemporary approaches to assessment and treatment are highlighted. The chapter concludes with a discussion of future directions for research.


2019 ◽  
Vol 35 (4) ◽  
pp. 512-520
Author(s):  
Caterina Novara ◽  
Paolo Cavedini ◽  
Stella Dorz ◽  
Susanna Pardini ◽  
Claudio Sica

Abstract. The Structured Interview for Hoarding Disorder (SIHD) is a semi-structured interview designed to assist clinicians in diagnosing a hoarding disorder (HD). This study aimed to validate the Italian version of the SIHD. For this purpose, its inter-rater reliability has been analyzed as well as its ability to differentiate HD from other disorders often comorbid. The sample was composed of 74 inpatients who had been diagnosed within their clinical environment: 9 with HD, 11 with obsessive-compulsive disorder (OCD) and HD, 22 with OCD, 19 with major depressive disorder (MDD), and 13 with schizophrenia spectrum disorders (SSD). The results obtained indicated “substantial” or “perfect” inter-rater reliability for all the core HD criteria, HD diagnosis, and specifiers. The SIHD differentiated between subjects suffering from and not suffering from a HD. Finally, the results indicated “good” convergent validity and high scores were shown in terms of both sensitivity and specificity for HD diagnosis. Altogether, the SIHD represents a useful instrument for evaluating the presence of HD and is a helpful tool for the clinician during the diagnostic process.


In his philosophical writings, Coleridge increasingly developed his thinking about imagination, a symbolizing precursor to contemplation, to a theory of contemplation itself, which for him occurs in its purest form as a manifestation of ‘Reason’. Coleridge is a particularly challenging figure because he was a thinker in process, and something of an omnimath, a Renaissance man of the Romantic era. The dynamic quality of his thinking, the ‘dark fluxion’ pursued but ultimately ‘unfixable by thought’, and his extensive range of interests make essential an approach that is philosophical yet also multi-disciplinary. This is the first collection of essays to be written mainly by philosophers and intellectual historians on a wide range of Coleridge’s philosophical writings. With a foreword by Baroness Mary Warnock, and original essays on Coleridge and Contemplation by prominent philosophers such as Sir Roger Scruton, David E. Cooper, Michael McGhee, and Andy Hamilton, this volume provides a stimulating collection of insights and explorations into what Britain’s foremost philosopher-poet had to say about the contemplation that he considered to be the highest of the human mental powers. The essays by philosophers are supported by new developments in philosophically minded criticism from Coleridge scholars in English departments, including Jim Mays, Kathleen Wheeler, and James Engell. They approach Coleridge as an energetic yet contemplative thinker concerned with the intuition of ideas and the processes of cultivation in self and society. Other essays, from intellectual historians and theologians, clarify the historical background, and ‘religious musings’, of Coleridge’s thought regarding contemplation.


Quaternary ◽  
2018 ◽  
Vol 1 (3) ◽  
pp. 24 ◽  
Author(s):  
Valentí Rull

In the coming years, the Anthropocene Working Group (AWG) will submit its proposal on the ‘Anthropocene’ to the Subcommission of Quaternary Stratigraphy (SQS) and the International Commission on Stratigraphy (ICS) for approval. If approved, the proposal will be sent to the Executive Committee of the International Union of Geological Sciences (IUGS) for ratification. If the proposal is approved and ratified, then the ‘Anthropocene’ will be formalized. Currently, the ‘Anthropocene’ is a broadly used term and concept in a wide range of scientific and non-scientific situations, and, for many, the official acceptance of this term is only a matter of time. However, the AWG proposal, in its present state, seems to not fully meet the requirements for a new chronostratigraphic unit. This essay asks what could happen if the current ‘Anthropocene’ proposal is not formalized by the ICS/IUGS. The possible stratigraphic alternatives are evaluated on the basis of the more recent literature and the personal opinions of distinguished AWG, SQS, and ICS members. The eventual impact on environmental sciences and on non-scientific sectors, where the ‘Anthropocene’ seems already firmly rooted and de facto accepted as a new geological epoch, are also discussed. This essay is intended as the editorial introduction to a Quaternary special issue on the topic.


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