file.newsgroup.med.59299 Maven / Gradle / Ivy
From: [email protected] (Todd I. Stark)
Subject: Re: OCD
This is to followup my previous reply on this topic, which it has been
pointed out to me might have been dangerously misleading in two spots.
1. I stated that psychotherapy (meaning talking therapy and so on) was used
to treat Obsessive Compulsive Disorder, which though sometimes true is
misleading. It is not often found effective, particularly by itself.
Primary treatment today usually consists at least in part of drug
therapy. The most current theories of this condition attribute
it to more to biological causes than psychological, in places where this
distinction becomes important.
2. I mentioned that the DSM-IIIR mentions 'impulses' as a possible
diagnostic marker. However, this might look like something
people associate with psychotic conditions, uncontrollable or
unpredictable behaviors, which is NOT the case with OCD.
One of the diagnostic criteria of OCD is that the individual
can and does suppress some of their 'impulses,' although they
are an unending source of anxiety.
The obsessive thoughts and ritualistic actions usually associated with
OCD are most frequently very mundane and predictable, closer to
a superstitious nature than a dangerous nature for the most part.
Some references (one non-technical and several technical)
that someone was kind enough to supply for me
but was unable to post themself :
|"The boy who couldn't stop washing" by judith rapaport. ***
(technical refs) :
| pharmacotherapy of o-c disorder
| donna m jermain and lynn crismon
| pharmacotherapy 1990; 10(3):175-198
| epidemiology of ocd
| seteven a rasmussen and jane eisen
| j clin psychiatry 1990;51(2, suppl.):10-13
| the waking nightmare: an overview of ocd
| judith l rapoport
| j clin psychiatry 1990; 51(11, suppl.):25-28
| absence of placebo response in ocd
| matig r mavissakalian, bruce jones, stephen olson
| j nerv ment disease 1990 vol 178 no. 4
And thanks very much to those who supplied constructive
criticism to my first post on OCD. I hope this helps clarify
the parts that were misleading.
kind regards,
todd
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| Todd I. Stark [email protected] |
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