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de Silva, Padmal Obsessive-Compulsive Disorder - Theory, Research & Treatment eBook

Obsessive-Compulsive Disorder - Theory, Research & Treatment

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eBook Publisher: John Wiley & Sons
Imprint: John Wiley & Sons, Ltd.

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Obsessive Compulsive Disorders (OCDs) involve habitual, repetitive behaviours that can be bizarre, disruptive and eventually disabling. They can destroy lives and relationships and are one of the most common of the emotional disorders.

The last five years have seen substantive advances in the state of knowledge of all aspects of OCD and this volume brings together many of the recognised leaders in the field to provide a state-of-the-art account of theory, assessment and practice in treatment.

A comprehensive text for trainees and practitioners.

? Presents current theories as well as treatment, focusing mainly on Cognitive Therapy methods of treatment

? Covers the assessment, nature and treatment of a wide range of sub-types of OCD

? Written by an international team of experts

Part of the renowned Wiley Series in Clinical Psychology

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Title of eBook: Obsessive-Compulsive Disorder - Theory, Research & Treatment
Release Date: 07-11-2003
Publisher: John Wiley & Sons, Ltd.

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Parent title Obsessive-Compulsive Disorder -...
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Obsessive-Compulsive Disorder - Theory, Research & Treatment


Chapter One

THE CLASSIFICATION AND DIAGNOSIS OF OBSESSIVE-COMPULSIVE DISORDER

Annette Krochmalik and Ross G. Menzies

This opening chapter will endeavour to provide an historical account of obsessive-compulsive disorder (OCD), and will also examine contemporary diagnostic and classificatory issues. The similarity of OCD to a number of other disorders, including the degree of co-morbidity with these, will also be addressed. Finally, a close examination of the epidemiology of the condition will be provided.

HISTORICAL OVERVIEW

The symptoms of OCD have been identified, with some consistency, from as early as the seventeenth century. At this time, obsessions were considered to exist purely within a religious framework and sufferers were considered to be possessed by outside forces, such as the devil (Salzman & Thaler, 1981). Not surprisingly, the most popular treatment method was exorcism, which, by all reports, resulted in some cases of therapeutic success. While little is known about the type of compulsive behaviour that dominated clinical presentations in this period, it is noteworthy that washing/cleaning behaviours have been clearly described from the earliest literature. Perhaps the first fictional portrayal of OCD is Shakespeare's illustration of Lady Macbeth in the sixteenth century. As we all know, this character, in an attempt to rid herself of guilt, repeatedly engaged in hand washing, a behaviour which continues to dominate much of the contemporary literature on the condition.

By the early part of the nineteenth century, OCD had moved from the spiritual to the medical field of enquiry. The conditi

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