Search results for ‘Subject term:"obsessive compulsive disorders"’ Sort:
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A qualitative study of the acceptability of an intensive format for the delivery of cognitive-behavioural therapy for obsessive-compulsive disorder
- Authors:
- BEVAN Anna, OLDFIELD Victoria B., SALKOVSKIS Paul M.
- Journal article citation:
- British Journal of Clinical Psychology, 49(2), June 2010, pp.173-191.
- Publisher:
- Wiley
The views of service users on the acceptability of an intensive versus a standard weekly treatment format for delivery of cognitive behavioural therapy for obsessive compulsive disorder were examined, using a detailed comparative analysis of the views of service users who had completed either intensive or weekly therapy. The main difference between the treatments was the timeframe of weekly format hour-long sessions provided for 12 weeks and intensive format treatment providing 12 hours of treatment flexibly over five days with a weekend between. Semi-structured interviews were held with six treatment completers for each format. Weekly treatment completers were concerned that intensive treatment could be overwhelming or too brief for real change to take place, while intensive treatment completers valued the high pressure and pace, feeling that it improved motivation, engagement and eventual outcome. The researchers concluded that an intensive treatment format can be highly motivating and acceptable to service users who have chosen to undertake it, and that good quality follow-up and support may be particularly important during intensive treatment.
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.
Shared experience
- Author:
- KROGER Susie
- Journal article citation:
- Young Minds Magazine, 107, August 2010, pp.30-31.
- Publisher:
- YoungMinds
Most of the literature on obsessive compulsive disorder has focussed on treatment. Relatively little work has been done towards understanding the actual impact this disorder has on young people’s emotions and social life. This study explored the views and ideas of five young people, aged 14-18 years, using their recovery stories and experiences. Young people are often treated using an adult model and the author was concerned to give them their own voice in order to help CAMHS clinicians reflect on how they provide interventions. The young people themselves like the idea of being able to share their experiences and help others. Four themes emerged. The first, feeling the stigma, emphasised the fear of what others would think, embarrassment, shame and secrecy. The second theme covered the impact of OCD on everyday life and the isolation and loneliness it could cause. The third aspect revolved around control, both being controlled by the OCD and taking control of it. The final theme encompassed the benefits of knowing others and peer contact. The author concludes with five top practice tips.
More than meets the eye: weight lifting and steroid use in men
- Authors:
- BARDICK Angela D., NIXON Gary, BERNES Kerry B.
- Journal article citation:
- Journal of Social Work Practice in the Addictions, 8(2), 2008, pp.208-227.
- Publisher:
- Taylor and Francis
- Place of publication:
- Philadelphia, USA
This study investigated men’s motivations for and experiences with attempting to achieve an ideal masculine body through heavy weight lifting, dieting and steroid use. The related literature is first reviewed then the results of the study in which 8 men living in southern Alberta, Canada were interviewed and asked to recount their experiences using a story format are reported. Subjects were aged from 21 to 35 years and were employed in a variety of occupations. Each subject reported that they had been lifting heavy weights 1 or more hours per day, 4 of more days per week, for a minimum of 6 months. Each had recognised that exercise may be interfering with their social life or work life. Four participants reported using steroids and four reported the use of non-steroid muscle building supplements. The nine main themes that emerged from the participants descriptions of their experiences were: I am not good enough; judging genetics; spiral into obsession; extreme commitment; join the club; no one understands me; control; it’s all an optical illusion; and desire to overcome the obsession. The authors comment that these themes suggest that men who attempt to achieve an ideal masculine body may become engaged in a cycle of obsessive-compulsive exercise, may be dealing with a variety of cognitive, behavioural, emotional, and social problems; and may attempt to overcome these problems by going to the gym rather than by seeking counselling. Implications for counselling are discussed including prevention, intervention and treatment.
The quality of life of young people with Tourette syndrome
- Authors:
- CUTLER D., et al
- Journal article citation:
- Child: Care, Health and Development, 35(4), July 2009, pp.496-504.
- Publisher:
- Wiley
The study examined a UK sample of 57 young people with Tourette syndrome (TS), to consider the impact of TS on young people's Quality of Life (QoL). The study used a mixed methods design, combining focus groups and questionnaire data. Child report questionnaires measured QoL and TS symptom severity. The results showed that the QoL of children with TS was significantly worse than that of children in a UK normative sample. Analysis of transcripts from the groups identified four main themes; 'TS can be distressing and disabling', 'struggling to fit into society's expectations of normal behaviour', 'needing to control tics' and 'TS is one part of who I am'. Poorer QoL was associated with increased symptom severity in terms of tics, Attention Deficit Hyperactivity Disorder diagnosis and obsessive compulsive behaviours.
Psychotherapy by computer: a postal survey of responders to a teletext article
- Authors:
- GRAHAM Candida, et al
- Journal article citation:
- Psychiatric Bulletin, 24(9), September 2000, pp.331-332.
- Publisher:
- Royal College of Psychiatrists
Computerised self-help psychotherapies are fast becoming part of psychiatric practice. The aim of the study was to assess potential user preferences for the delivery of self-help psychotherapy for obsessive- compulsive disorder (OCD) and phobic anxiety disorders. Twenty-seven per cent of residents did not wish to access such services via their GP, 91% wanted access via a computer system and respondents were willing to pay an average of £10 per computer session. This may be the first survey directly asking potential users about their preferred access to self-help psychotherapies for anxiety disorders. A significant proportion of residents did not wish to go via their GP to receive therapy and the vast majority welcomed therapy delivered by some form of computer system.