Families of Origin in Obsessive-Compulsive Disorder

Hoover, Carol F.; Insel, Thomas R.

doi:10.1097/00005053-198404000-00004

Cited by 55 publications

(23 citation statements)

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“…These factors may influence both a family's and a patient's functioning, thus affecting long-term outcome [95,96] and, sometimes, completely blocking treatment evolution. An appropriate understanding of the family involvement in the ritual execution may improve behavioural abnormalities.…”

Section: Individual and Family Therapymentioning

confidence: 99%

Obsessive-Compulsive Disorder in Childhood and Adolescence

Presta¹,

Marazziti²,

Dell’Osso³

et al. 2003

Psychopathology

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Obsessive-compulsive disorder (OCD) is a common psychiatric condition during childhood and adolescence, which continues to be underestimated and undertreated. For these reasons, it constitutes a primary cause of major disabilities in those ages and, sometimes, of permanent impairments later on. In these last few years, childhood and adolescence OCD has attracted an increasing focus which has promoted a deeper awareness of this illness, a better recognition with earlier interventions, as well as the set-up of more tailored and specific strategies, including psychotropic drugs. The aim of this paper is to present a critical review of paediatric OCD, with a special attention towards the most compelling reports available up to now and towards the most interesting areas for future research.

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Section: Individual and Family Therapymentioning

confidence: 99%

Obsessive-Compulsive Disorder in Childhood and Adolescence

Presta¹,

Marazziti²,

Dell’Osso³

et al. 2003

Psychopathology

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“…That is, while a diagnosis of OCD requires that clients experience symptoms as ego-dystonic, it is noted in the literature that sufferers may occasionally believe, even adamantly, in the validity of their obsessions and compulsions. These findings inspired some to suggest that symptoms may be connected with the feelings or beliefs of the sufferer, and as such, are not as "senseless" as initially thought (Fitz, 1990;Hoover, & Insel, 1984;Kozak & Foa, 1994;Lelliot, Noshirvani, OCD & Guilt 7…”

Section: Ocd and Guiltmentioning

confidence: 93%

“…Hoover and Insel (1984) found that families of OC patients were typically ... that a family environment can contribute to the onset of OCD when it is stressful enough to cause unwanted thoughts in individuals, and/or when it is characterized by the use of strong, negative emotions to warn that certain thoughts are wrong and dangerous and must be avoided at all costs. This mode, however, does not make clear whether any form of stressful home environment will contribute to the onset of OCD or whether the stress must consist of specific elements, such as perfectionism and parental rejection (p. 145) …”

Section: Ocdmentioning

confidence: 99%

A Phenomenological Investigation of the Role of Guilt in Obsessive-Compulsive Disorder

Savoie

1996

J Phenomenol Psychol

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The current work takes a phenomenological approach to investigating the role of guilt in a sample of persons diagnosed with Obsessive-Compulsive Disorder (OCD). The role of guilt in OCD has been frequently noted in the literature, although infrequently studied as a factor in its own right. Typically, those studying OCD have found positive correlations between questionnaire measures of guilt and self-reported symptoms of OCD. Those working with sufferers have also found that OC clients in therapy report feelings of guilt with respect to their symptoms. The present work investigates, in a qualitative way, the meaning of guilt for those with OCD. The presumed role of guilt is examined descriptively, with an eye to developing a more complete understanding of the relationship between feelings of guilt and OC symptoms in a sample of sufferers. Nine participants (N=9) were recruited, and were interviewed using an unstructured approach. In terms of analysis, emphasis was placed on understanding the experience of guilt and OC symptoms as both were lived by sufferers, with a focus on the personal significance of guilt for study participants. Fifteen descriptive guilt/OCD themes were derived from interviews across the nine participants. Themes revealed a variety of connections that sufferers made between feelings of guilt and symptoms of OCD. A common description of the experience was also derived. The results suggest that the role of guilt in OCD is highly interpersonal in nature, and that feelings of guilt may precede, motivate, as well as be a consequence of, OC symptoms. The role of guilt for any given sufferer may also be highly idiosyncratic.

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“…The families of children with OCD have been believed to be rigid and to put emphasis on cleanliness and perfection (Hoover & Insel, 1984;Adams, 1973), but to the author's knowledge, no systematic study has, so far, confirmed that such families are specific to OCD.…”

Section: Introductionmentioning

confidence: 99%

Obsessive-compulsive disorder in children and adolescents: A study of phenomenology and family functioning in 20 consecutive Danish cases

Thomsen¹

1994

European Child & Adolescent Psychiatry

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Twenty child and adolescent patients with obsessive-compulsive disorder (OCD) were compared with 20 age- and sex-matched comparison patients regarding phenomenology and family functioning. The test-results indicated a possibly limited capacity for social interaction in a subgroup of the OCD patients. Depression and suicidal thoughts were commonly encountered in children with OCD. The families of OCD children seemed to differ from comparison families only with regard to mothers' view on adaptability. No specific type of OCD family was described.

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Families of Origin in Obsessive-Compulsive Disorder

Cited by 55 publications

References 0 publications

Obsessive-Compulsive Disorder in Childhood and Adolescence

Obsessive-Compulsive Disorder in Childhood and Adolescence

A Phenomenological Investigation of the Role of Guilt in Obsessive-Compulsive Disorder

Obsessive-compulsive disorder in children and adolescents: A study of phenomenology and family functioning in 20 consecutive Danish cases

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