Resource Tag: OBSESSIVE-COMPULSIVE DISORDER

This article describes a long-term treatment approach based on a model developed by French psychoanalyst Jacques Lacan (1901-1981). It provides a first formulation (after about 4 years) of an ongoing case, which has been conducted exclusively by telephone. The myriad significations of a particular fetish object are drawn out & tied to the participant’s history, […]

In order to find factors which could be used to distinguish affective psychoeses with anancastic symptoms from affective psychoses without these traits, this study matched 104 manic-depressive patients with anancastic symptoms to 104 non-anancastic probands with affective psychoses. The pattern of the anancastic symptoms was rather uniform; aggressive obsessions, mostly in the form of suicidal […]

The reliability of the Adult Suicidal Ideation Questionnaire (ASIQ) is examined in a sample of 325 adult psychiatric outpatients. The ASIQ is a 25-item adult form of the Suicidal Ideation Questionnaire. Internal consistency reliability of the ASIQ was high for all groups & of sufficient magnitude to suggest accuracy for clinical & research applications. High […]

3 behavioural approaches in the treatment of 6 obsessive-compulsive patients were examined. The approaches were: 1) exposure in imagery; 2) thought stopping; & 3) rational-emotive therapy. One subject required rational-emotive therapy in addition to exposure when exposure therapy decreased anxiety associated with his suicidal obsessions. After five sessions, suicidal obsessions were ameliorated & the subject […]

Data were analyzed to assess the potential association between fluoxetine treatment & suicidality in 785 patients with DSM-III-R bulimia nervosa. No fatal suicide acts occurred; 9 of 785 patients made nonfatal attempts & 24 experienced emergent suicidal ideation. No statistically significant increases in suicidal acts or ideation were observed among fluoxetine-treated subjects compared with placebo-treated […]

This article reviews & integrates recent theories of addition drawn from a diverse set of disciplines to provide a comprehensive framework for understanding the etiology of addiction & other compulsive behaviours. Two a priori themes – serial/simultaneous addictions & personal crises/role transitions – & five emergent themes – relapse, deception, dysfunctional families, suicide, & boundaries, […]

An analysis of clinical trial data comparing fluoxetine & placebo was undertaken to assess the potential association of fluoxetine & suicidality in patients with DSM-IIIR obsessive-compulsive disorder. Worsening in suicidal ideation was significantly more frequent with placebo than with fluoxetine. The emergence of substantial suicidal ideation was numerically greater with placebo than with fluoxetine. Thus […]

Comments on the article by Teicher et al (PA Vol 77:18011) in which the reaction of 6 depressed patients briefly exposed to fluoxetine was described as intense violent suicidal preoccupation. The specific pharamacologic effects of fluoxetine should be emphasized as a probable etiologic factor. The phenomenon may be the equivalent of the serotonin reaction described […]

This article describes the suicide of Dallas Keefover, a 22-year-old who dreamed of becoming a major league umpire. His career as a referee, including being released from the minor leagues after a trial run, & the last, abusive game he officiated are described. His friends described him as happy-go-lucky; however, his dream of becoming a […]

Obsessive-compulsive disorder is a well-defined clinical syndrome which is difficult to treat. The author details various medical & psychological therapies. He states there is a “hidden epidemic” of silent sufferers who will begin seeking treatment as the efficacy of serotonin anti-depressants & behavioral therapy become more widespread. He concludes that the serotonin model raises the […]

This study analyzed the effect of fluoxetine treatment for obsessive-compulsive disorder among 6 patients, 10 to 17 years old. The authors found that self-injurious ideation or behavior appeared or intensified during the treatment. 3 hypotheses are discussed: coincidence; medication-induced agitation, disorganization, or mood changes; or, a specific serotonergic-mediated effect on the regulation of aggression. (VM)

The author reports another case of adolescent suicidal ideation apparently triggered during treatment with fluoxetine.

The author reviews neurotic excoriations & dermatitis artefacta, two types of commonly occurring dermatoses. Victims are usually emotionally immature, introverted, have difficulty communicating with others & have low stress tolerance. self-mutilation in the form of dermatalogic abuse is highly predictive of suicide in schizophrenic patients. 48 refs. (NBB)

This study explores the theory that self mutilation patients may regard their bodies as transitional objects. (In defining this term, the author draws an analogy to the blanket belonging to Linus, of comic strip fame.) The case history of a female college student is discussed in this context. Transference & countertransference of the patient’s ambivalent, […]

This article is the proceedings of a staff conference held to discuss the case of a 29-year-old female, diagnosed as having a dual personality, who was hospitalized following numerous suicide attempts. The results of psychological tests, clinical observation, & findings from a review of family history are presented. (NBB)

Workers in a suicide prevention centre, like others, find it difficult to deal with the obscene telephone caller. Two kinds of callers are described. One is the “part-time obscene caller” for whom it is suggested that his obvious & hidden messages in the call be responded to in a way that he may develop trust […]

The authors state that the unconscious compulsion to repeat painful experiences in order to undo them & make them more pleasurable is a constant source of conflict for patients with emotional problems. A 33-year-old woman with a long history of hospitalizations had received ECT, drug therapy, as well as individual & marital therapies. Through family […]

The author presents the case history of a 29 year old unmarried female who repeatedly mutilated her tongue by biting. Her hysterical symptoms are explained in psychoanalytical terms. Numerous & varied attempts at treatment were generally unsuccessful. 28 ref. (NBB)

Literature concerning religious conversions is reviewed. 4 case histories of depressive illness followed by religious conversion are presented. In 2 obsessive-compulsive patients, the religious experience failed to resolve the depression & both ended in suicide. The author suggests that religious conversion strengthens depression in hysterical persons, but in some cases fails to resolve obsessive isolation […]

The paper presents a detailed review of a series of patients who had undergone stereotactic psychosurgical operations for obsessional illnesses, in order to assess the value of this method of treatment & also to attempt to identify factors which might have prognostic significance. (22 ref)

The purposes of this study were: to elicit the clinical & biographical features of non-psychotic, female, repeated self-cutters; to attempt a detailed study of the patients’ mental state at the time of the act; to test a prediction that self-cutters exhibit a marked obsessional trait; and to examine the possible relationship between self mutilation, obsessionality […]

The controversy concerning whether too much writing about death can lead to death is examined based on an analysis of the lives & writings of Cesare Pavese & Joseph Conrad. It is concluded that, while there may well be risk writing, there is also writing that serves as rescue & writing that participates in neither […]