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What is Obsessive Compulsive Disorder, what are the underlying mechanisms…
What is Obsessive Compulsive Disorder, what are the underlying mechanisms & how is it treated?
DSM Criteria
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(A) Presence of obsessions, compulsions or both
Obsessions defined by:
Persistent & intrusive thoughts, urges or images
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Normal vs. Abnormal
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Rituals
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Differences:
OCD display more; washing, ordering, cleaning
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Treatment
Exposure therapies:
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3 steps to exposure:
- Hierarchy of threat & exposure
- Understanding negative impact of avoidance
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Fear of guilt (Mancini)
Mancini's reinvented version #
- The active goal of the person must be moral
- Free behaviour, no constraints
- The event must be unjust (doesn't need to be harmful)
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Inflated responsibility
- Primary goal is to prevent negative event from happening
- Belief in the personal power to prevent negative event
- The threat of a negative outcome (manifest or moral)
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