Compulsive rituals by proxy

Ram, Dushad; Kumar, Arun

doi:10.4038/sljpsyc.v5i2.7493

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2018

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“…For example, family members may not only facilitate rituals and compulsions through reassurance but may also become over-involved and perform the rituals and compulsions themselves as a way of dealing with the problem. This high level of accommodation has been described as 'OCD by proxy' in two case reports of adult OCD in which the patients substituted another member of the family to carry out the compulsive behaviour (Vikas and Chandrasekaran, 2011;Ram and Kumar, 2014).…”

Section: Introductionmentioning

confidence: 98%

Family-based cognitive behavioural therapy for obsessive-compulsive disorder with family accommodation: case report from Saudi Arabia

Alatiq

Alrshoud

2018

tCBT

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Family accommodation in obsessive-compulsive disorder (OCD) refers to a condition in which a family member assists or facilitates the patient with OCD in performing the compulsion, or provides assurance to minimize or reduce the anxiety level. This condition can be significantly disabling to the individual as well as to the family dynamic. In this case report, a mother of a 14-year-old female patient carried out almost all the compulsive behaviours and rituals for her child. Family-based cognitive behavioural therapy was offered to this case over a 4-month period with a successful treatment outcome. This result provides initial evidence that this type of intervention is suitable for patients from Saudi Arabia, a non-Western culture.

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Section: Introductionmentioning

confidence: 98%