Treatment of Obsessive-Compulsive Neurosis with History of Childhood Autism

1977 ◽  
Vol 130 (6) ◽  
pp. 592-597 ◽  
Author(s):  
Peter Lindley ◽  
Isaac Marks ◽  
Robin Philpott ◽  
John Snowden

SummaryA young man was followed-up over three years who had severe obsessive-compulsive rituals and ruminations, interpersonal deficits, complicating depression and a history of childhood autism. Intensive behavioural treatment was given in an operant framework, with exposure in vivo, modelling, response prevention and social skills training. Compulsive rituals improved markedly and lastingly, but ruminations and social defects persisted. When intercurrent depression occurred dothiepin facilitated behavioural treatment. Adjustment remained fragile. Minimum maintenance treatment in the community could not be adequately arranged, so that gains made in hospital were partly lost at follow-up, despite continuing improvement in rituals.

1990 ◽  
Vol 18 (4) ◽  
pp. 311-316 ◽  
Author(s):  
Matthew R. Sanders ◽  
Lyndall Jones

This case study describes the use of a multi component behavioural programme in the treatment of a 13-year-old girl with multiple phobias of injections, dental and medical procedures who faced major surgery within 6 months. The treatment involved coping skills training, systematic desensitization, in vivo desensitization with participant modelling and homework assignments. Measures of anxiety via SUDS ratings, behavioural approach tests and self-report measures demonstrated the effectiveness of the treatment program and the subsequent maintenance of treatment effects at 8 months follow-up.


1979 ◽  
Vol 134 (3) ◽  
pp. 301-305 ◽  
Author(s):  
J. P. Cobb ◽  
I. M. Marks

SummaryMorbid jealousy can occasionally be indistinguishable from obsessive-compulsive neurosis and then be partially amenable to broad-spectrum behavioural treatment. This can involve the partner and includes (a) methods to reduce jealousy and (b) other methods where appropriate, such as social skills training, and sex and marital therapy. This pilot study describes such treatment of four jealous out-patients. Rituals improved in three patients but ruminations in only one. Of three patients who were depressed at the start of treatment, two improved in rituals and in mood. The patient who failed was poorly motivated and did not comply with treatment.


Author(s):  
Cristhiane De Almeida Mitsi ◽  
Jocelaine Martins da Silveira ◽  
Carlos Eduardo Costa

O presente trabalho investigou como, com que freqüência e com qual efetividade o treino em habilidades sociais foi utilizado como tratamento principal de pessoas com o diagnóstico de Transtorno Obsessivo-Compulsivo (TOC) através da análise de um levantamento bibliográfico. A base de dados utilizada foi o PsycINFO. Os critérios de busca de artigos foram: (a) escritos em inglês; (b) publicados em periódicos; (c) que contivessem os termos “Obsessive Compulsive Neurosis” e “Social Skills Training” (e termos correlacionados a estes). Foram encontrados 18 artigos, dos quais 10 foram analisados e organizados em tabelas. Notou-se que, embora as pesquisas sobre TOC tenham aumentado em número de publicações ao longo dos anos, poucas têm indicado as habilidades sociais como fator relevante para o tratamento. Nenhuma das pesquisas examinadas teve como objetivo avaliar o efeito de intervenções em habilidades sociais em casos de TOC.


1991 ◽  
Vol 19 (4) ◽  
pp. 347-357 ◽  
Author(s):  
Willi Ecker ◽  
Victor Meyer

This case study illustrates the reduction of severe stuttering by an individually tailored treatment programme. Interventions are derived from a tripartite analysis (Lang, 1971) and include EMG biofeedback, regulated breathing, exposure in vivo to stressful communication situations and cognitive techniques to reduce relapse risk. The role of dysfunctional response system interactions in stuttering is emphasized. Treatment resulted in a marked reduction of stuttering and associated facial contortions during videotaped conversations with strangers and oral reading. Improvement was maintained at one-year follow-up.


2021 ◽  
pp. 1-10
Author(s):  
Cristina V. Torres ◽  
Nuria Martínez ◽  
Marcos Ríos-Lago ◽  
Monica Lara ◽  
Juan Alvarez-Linera ◽  
...  

<b><i>Introduction:</i></b> A subgroup of patients with autism spectrum disorder (ASD) show self or heteroaggression, dyscontrol episodes, and others are of obsessive-compulsive disorder (OCD) profile; some of them are resistant to medical and behavioural treatment. We describe the long-term outcome in a group of these patients, treated with radiofrequency brain lesions or combined stereotactic surgery and Gamma Knife (GK) radiosurgery. <b><i>Methods:</i></b> We reviewed the medical records of 10 ASD patients with pathological aggressiveness and OCD, who had undergone radiofrequency lesions and/or radiosurgery with GK in our institution. <b><i>Results:</i></b> The 10 patients had a significant reduction of their symptoms (PCQ 39.9 and 33, OAS 11.8 and 5, CYBOCS-ASD 30.4 and 20), preoperatively and in the last follow-up, respectively; <i>p</i> &#x3c; 0.005 (in all cases), although all but 2 needed more than 1 treatment to maintain this improvement. <b><i>Conclusions:</i></b> We observed a marked improvement in behaviour, quality of life, and relationship with the environment in all our 10 patients after the lesioning treatments, without long-lasting side effects.


2000 ◽  
Vol 28 (4) ◽  
pp. 353-360 ◽  
Author(s):  
Karen Rowa ◽  
Martin M. Antony ◽  
Richard P. Swinson

Until the late 1960s, obsessive compulsive disorder (OCD) was considered to be a relatively untreatable condition. Over the next several years, many advances were made in the psychological treatment of OCD as clinicians and researchers began to realize the value of behavioural treatments for this population. Isaac Marks and his colleagues played an instrumental role in the development and initial validation of exposure-based treatments for OCD. In addition to his other important research in the area of anxiety, Marks continued to study behavioural treatments for OCD, including the processes and predictors of treatment outcome. More recently, his work has focused on self-administered treatments for OCD and other anxiety disorders, including computerized and telephone-based treatments. This paper reviews research on the behavioural treatment of OCD, with an emphasis on the contributions of Isaac Marks.


1994 ◽  
Vol 22 (4) ◽  
pp. 325-330 ◽  
Author(s):  
Gregoris Simos ◽  
Evangelos Dimitriou

Therapeutic management of obsessional ideas without compulsions is considered to be a rather difficult clinical problem. This report discusses the case of a 24-year old lady with a nine year history of recurrent Obsessive-Compulsive Disorder which most recently presented with a year-long obsessional rumination concerning her superstitious personal responsibility for the accidental death of her cousin. Repeated audio-taped listening to the cognitively restructured content of her obsession resulted both in a rapid elimination of her ruminations and the alleviation of her depressive and general psychopathology.


2002 ◽  
Vol 190 (2) ◽  
pp. 86-93 ◽  
Author(s):  
LISA MILLER ◽  
MYRNA WEISSMAN ◽  
MERAV GUR ◽  
STEVEN GREENWALD

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