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Chapter 7.docx

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Department
Psychology
Course
PSY-0012
Professor
Jackquelyn Mascher
Semester
Fall

Description
Chapter 7: OC Related Disorders & Trauma   04/15/2014 Part I: Obsessive Compulsive Related Disorders  OC Related Disorders 1. Obsessive­compulsive disorder 2. Body dysmorphic disorder 3. Hoarding disorder  1. Obsessive­Compulsive Disorder (OCD) Obsessions or compulsions are time consuming or cause significant distress or impairment Obsessions Intrusive, recurring, unwanted, uncontrollable thoughts/images/urges Person tries to ignore/suppress/neutralize Compulsions Impulse to repeat certain behaviors or mental acts (e.g. hand washing, checking, etc.) Feels driven to perform repetitively To reduce distress Extremely difficult to resist impulse May involve elaborate behavioral rituals  Additional aspects First develops before age 10 or during late adolescence/early adulthood Most common: contamination, sexual, aggressive  Gendered symptoms  Early onset more common in men Cleaning compulsions more common in women Often chronic Impacts personal relationships  2. Body Dysmorphic Disorder Preoccupation with one or more imagined, exaggerated, perceived defect in appearance or body part Repetitive behaviors or mental acts in response to perceived defect Preoccupation not restricted to weight or body fat Characteristics Constant examination of self in mirror or avoids mirrors completely Excessive reassurance seeking Attempting to camouflage, hide defect Becoming housebound Unable to attend school or work Plastic surgery, but disappointment in result Additional aspects May have suicidal thinking triggered by issues of appearance Level of insight varies Typical onset late adolescence Slightly more common in women than men Symptoms not better accounted for by other disorder  3. Hoarding Persistent difficulty discarding or parting with possessions, regardless of actual value Strong urges to save items, or distress associated with discarding Impairment due to accumulation of large numbers of items Key areas of home or work cluttered; intended use of areas impossible  Part II: Trauma  How Do Clinicians Talk about Trauma? Continuum definition: traumatic stress DSM­5 definitions: PTSD
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