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Obsessive-Compulsive Disorders

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Abstract

Few syndromes of psychopathology are as intriguing as obsessive-compulsive disorder (OCD). Part of the fascination comes from the individual’s total inability to control seemingly nonsensical behaviors despite his or her controlled and normal behavior in most other areas. My introduction to the disorder involved a very bright, educated, articulate mother of two children who could not leave the house, nor allow her husband and children to leave the house, without an elaborate checking ritual during which she searched for bits of paper. At one time she had worked for a government intelligence agency, and she feared that these “bits” might contain information that would jeopardize national security if they were carelessly dropped about. Despite the illness, this woman was an accomplished musician, writer, and gourmet cook. Unfortunately, the disorder crippled her to the extent she was unable to leave home, travel, or throw away papers from the house. Her three-story dwelling was packed with trash and papers that she had hoarded over a 5-year period. It was difficult to sit or move around, for each room was filled with stacks and stacks of paper. Her apparel had a bohemian, flowing quality, for she wore no items of clothing that might catch “bits” in seams or hems; her wardrobe consisted of loose dresses and sandals. The juxtaposition of her rituals to her enormous capabilities was most contradictory and served as my initiation to this fascinating and puzzling disorder.

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Sturgis, E.T. (1993). Obsessive-Compulsive Disorders. In: Sutker, P.B., Adams, H.E. (eds) Comprehensive Handbook of Psychopathology. Springer, Boston, MA. https://doi.org/10.1007/978-1-4615-3008-4_7

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