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Psychometric Testing in Functional GI Disorders
Published in Kevin W. Olden, Handbook of Functional Gastrointestinal Disorders, 2020
The original version of the Y-BOCS was published in 1986 and the revised version in 1989. This rating scale is designed to rate the severity and type of symptoms in patients with obsessive-compulsive disorder (95,96). The scale is a semistructured interview filled out by the interviewer. The scale contains items that cover aggressive obsessions, contamination obsessions, sexual obsessions, hoarding, saving obsessions, religious obsessions, obsessions with the need for symmetry or exactness, somatic obsessions, cleaning and washing compulsions, checking compulsions, repeating rituals, counting compulsions, ordering and arranging compulsions, hoarding and collecting compulsions, and other obsessions and compulsions.
The Sexually Addicted Couple
Published in Len Sperry, Katherine Helm, Jon Carlson, The Disordered Couple, 2019
Those who identify as sex addicts have several common attributes: low opinion of and distorted beliefs about themselves, a desire to escape from unpleasant emotions, difficulty coping with stress, at least one powerful memory of a “high,” and an ability to deny having a problem (Earle & Crow, 1990). Many people who describe themselves as having compulsive sexual behavior also describe experiencing other compulsive behaviors (e.g., compulsive buying) (Black et al., 1997). Sexual addiction symptoms (similar to other addictions) include: a pattern of out of control behavior; severe consequences; inability to stop behavior despite consequences; an ongoing desire or effort to limit sexual behavior; use of sexual obsession and fantasy as a way to cope; increasing amounts of sexual experience (increased tolerance) because current level of activity is not sufficient; severe mood changes around sexual activity; inordinate amounts of time spent obtaining sex, being sexual, or recovering from sexual experiences; and neglect of important social, occupational, or recreational activities because of sexual behavior (Jones & Hertlein, 2012).
Identifying and Managing Problems in Different Settings
Published in Philipa A Brough, Margaret Denman, Introduction to Psychosexual Medicine, 2019
Mental health disorders and the drugs commonly used to treat them have significant effects on libido and sexual function in men and women. It is important that this is borne in mind and discussed with the patient. If using IPM methods, as demonstrated throughout this book, it is important to assess whether the patient is suitable for brief interpretive therapy. This may not be possible if the patient is significantly depressed or suffering from a psychotic illness. Helping people with personality disorders may also prove difficult. Similarly, these methods are not suitable for treating people with fetishes and sexual obsessions.
Body Image and Sex: A Dyadic Examination of Body Esteem and Sexual Inhibition, Obsession, and Harmony
Published in The Journal of Sex Research, 2023
Amber A. Price, Kimberly G. Y. McCann, Lyndsey Kunzler, Chelom E. Leavitt, Erin K. Holmes
To more fully understand the dyadic association between body image and sexual well-being, it may be helpful to explore previously under-examined aspects of the sexual relationship. As mentioned, body dissatisfaction may be associated with sexual inhibition (e.g., Ackard et al., 2000; Cash et al., 2004; Steer & Tiggemann, 2008) and such inhibition could contribute not only to the individual’s sexual experience but to the partner’s as well. However, an association between body image and inhibition specifically has not been explored. A fixation on appearance that is externalized may possibly be linked to sexual obsession. With these possibilities in mind, in this study we examined body esteem and the sexual relationship at a dyadic level using three styles of relating to a sexual relationship: sexual inhibition, sexual obsession, and sexual harmony (Busby et al., 2019) with the intention of better understanding the mechanism relating to both individual and dyadic experiences of body image in a sexual relationship.
Flexible Adaptation of Evidence-based Treatment Principles and Practices in an Intensive Outpatient Setting for Pediatric OCD
Published in Evidence-Based Practice in Child and Adolescent Mental Health, 2020
Sisi Guo, Michelle Rozenman, Shannon M. Bennett, Tara S. Peris, R. Lindsey Bergman
The youth and parent (most often separately) are also assessed for commitment to and motivation for treatment. If the youth has a prior history of treatment (typically in an outpatient setting) with a provider that we are confident has training in pediatric OCD treatment or used ERP, we may obtain the family’s permission to contact that provider to determine whether outpatient treatment failed because of clinical complexity and/or treatment noncompliance, and have further discussions with the family about adherence to treatment. Group participation is also discussed. Some youth, either due to comorbid Social Phobia, embarrassment about their own symptoms, or fears of emotional contamination from other youths’ symptoms, are wary or initially resistant about the idea of group participation. The youth’s concerns may be easily allayed (e.g., “We would not share the specific information about your sexual obsessions with other youths”), require incorporation into the ERP plan (e.g., gradually increasing the amount of time spent in group meetings), or involve broader discussions with the family about whether our program is the appropriate setting if the youth’s refusal to participate in group is purely oppositional and unrelated to any other OC- or anxiety symptoms.
A misidentification ritual in a patient with obsessive-compulsive disorder: clinical and pharmacotherapeutic implications
Published in Psychiatry and Clinical Psychopharmacology, 2018
Doga Sevincok, Levent Sevincok, Cagdas O. Memis, Bilge Dogan
In summary, we presented a case with OCD who exhibited a misidentification ritual related to harm and sexual obsessions. Clinicians should be aware of any interesting and different obsessive-compulsive symptoms which might be related to schizotypal traits in OCD. Future studies should be performed to identify the rates and symptom dimensions of misidentification phenomenon in OCD.