Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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Compulsive hoarding: a qualitative investigation of partner and carer perspectives
- Authors:
- WILBRAM Mark, KELLETT Stephen, BEAIL Nigel
- Journal article citation:
- British Journal of Clinical Psychology, 47(1), March 2008, pp.59-73.
- Publisher:
- Wiley
This study explores the experiences of family members caring for a person who compulsively hoards. Ten participants, all `key carers' for a hoarding family member, were interviewed using a semi-structured interview schedule designed for the purpose of the study. Transcribed interviews were analysed using interpretive phenomenological analysis. Five superordinate, discrete but interconnecting themes were identified: `loss of normal family life'; `the need for understanding'; `coping with the situation'; `impact on relationships'; and `marginalization'. Carers' accommodation of hoarding behaviours and role isolation were examined in drawing connections between themes. Outlying themes suggesting factors protective of relationships and facilitating coping were also identified. Carers struggled to cope with both the environmental and interpersonal impacts of the hoarding. Lacking both formal and informal networks of support, carers are in need of information and treatment options for themselves and their families. Possible avenues for future clinical and theoretical research are suggested.
How do hostile and emotionally overinvolved relatives view relationships?: what relatives' pronoun use tell us
- Authors:
- SIMMONS Rachel A., CHAMBLESS Dianne L., GORDON Peter C.
- Journal article citation:
- Family Process, 47(3), September 2008, pp.405-419.
- Publisher:
- Wiley
Expressed emotion (EE) has been linked to negative outcomes for a variety of psychiatric illnesses. Despite development of effective interventions to reduce EE, relatively little is known about EE's antecedents or maintaining factors. This American study uses a novel methodology (measurement of pronouns used by relatives during the Camberwell Family Interview [CFI] or a problem-solving interaction with the patient) to explore possible cognitive correlates of EE. Participants were 98 outpatients with obsessive-compulsive disorder or panic disorder with agoraphobia and their primary relative. Results showed that relatives' pronoun use was stable across situations. Relatives' hostility and criticism, as measured by objective coding of relatives' behaviour during the CFI and interactions, respectively, were related to relatives' decreased we-focus and increased me-focus in the 2 situations. In contrast to expectations, relatives' emotional over involvement was related to their decreased we-focus during CFIs and interactions. Results support the value of using pronouns as a means to explore important aspects of relationship functioning.
Mental health in people with Asperger syndrome: a guide for health professionals
- Authors:
- DEUDNEY Christine, SHAH Amitta
- Publisher:
- National Autistic Society
- Publication year:
- 2004
- Pagination:
- 14p.
- Place of publication:
- London
The booklet covers the mental health problems to which people with autism and Asperger syndrome are most vulnerable, especially in late adolescence and early adult life: depression; anxiety; obsessive compulsive disorder; schizophrenia and catatonia. It provides a helpful introduction to the symptoms, diagnosis and treatment of these mental health problems and will be a beneficial read for anyone working in the health sector, as well as for people with autistic spectrum disorders and their families.
Family responses and multifamily behavioural treatment for obsessive-compulsive disorder
- Authors:
- VAN NOPPEN Barbara, STEKETEE Gail
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(2), Summer 2003, pp.231-247.
- Publisher:
- Oxford University Press
Family responses to obsessive-compulsive disorder (OCD) that have relevance to behavioural treatments for adults with this disorder include family accommodation, family members' expression of emotion (EE) toward patients, and the effects of including family members in treatment. Family accommodation to OCD symptoms has been linked to greater severity of symptoms and poorer family mental health. Components of EE, including hostility and perceived criticism, have proved predictive of poorer outcome following behavioural treatment, but nonhostile criticism appears to improve outcomes. A model of multifamily behavioural treatment, in which relatives and patients are trained in exposure and blocking of rituals, as well as behavioural contracting to improve communication, is presented and illustrated in case examples.
Treatment of obsessive compulsive disorder and comorbid social phobia
- Author:
- SEIGEL Alan
- Journal article citation:
- Brief Treatment and Crisis Intervention, 3(1), Spring 2003, pp.55-81.
- Publisher:
- Oxford University Press
The purpose of this article is to help persons in the helping professions recognize the serious threats to self, family life, and work experienced by persons with obsessive compulsive disorder (OCD) and social phobia and help engage persons affected in focused, clinically responsible treatment. The articlel presents findings from epidemiological studies of the disorders presenting conjointly, illustrates comorbidity in clinical practice through case examples, and reviews clinically relevant information gleaned in the diagnostic assessment. Core triage decisions in initiating treatment are reviewed. Medication approaches and patient concerns regarding medication are overviewed. The article summarizes psycho-educational information regarding cognitive errors in OCD and social phobia that may be presented to the patient to help the patient limit anxiety evocative and depressive thought. The author provides illustrations of cognitive behavioural treatment in individual and group psychotherapy, transfer of training, treatment resistance, and adjunctive treatments, resources for consumers and practitioners, and emerging challenges in the field.
Is this how I’ll be for the rest of my life?: the human experience of obsessive-compulsive disorder
- Author:
- SHIELD Margaret
- Journal article citation:
- Social Work in Mental Health, 1(1), 2002, pp.85-98.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
Obsessive-compulsive disorder (OCD) is an anxiety disorder affecting 2% to 3% of populations throughout the world. This article provides an overview of symptoms (obsessional thoughts and compulsive behaviours) and current treatment options (medication and cognitive-behaviour therapy). A case study involving data obtained from an OCD sufferer and her mother is presented. Analysis of the data within the context of past literature highlights the economic and emotional costs of OCD which include years of psychiatric treatment, therapy, and medication, loss of productivity due to long-term unemployment, and individual and family stress.