Note: Sample below may appear distorted but all corresponding word document files contain proper formattingExcerpt from Term Paper:
Without further examination, one can only note the similarities in isolating behavior between Asperger's and OCD patients. In Jake's particular case, the symptoms while he was a child included insistence on sameness, preference for symmetry, and systems of arranging preferred objects (Leckman, 1999)
Etiology: One can surmise that Jake is genetically predisposed to OCD through his mother. In general, OCD and some other genetically-linked psychiatric disorders can move from mother to son to daughter (i.e. change sex with each generation). OCD in the father can be enhanced through the birth of a child, and has been documented in clinical studies (Abramowitz, 2001). This may be in response to the hormonal changes of the mother, or the change in routine (and perceived risk) of the father after the birth of the child. It could also be a heightened response to post-partum depression on the part of the wife.
Jake's OCD appears to be moderate enough (though of long duration) that it can be cured. A positive in his case is that he has functioned more-or-less normally in society for a number of years. Although it is not possible to imagine that Jake would change completely to an extrovert, the objectives of treatment should be to restore Jake's ability to function with his family and in his community and work environment, while maintaining his current personality.
If one were to choose the "easy" route of prescribing a serotonin inhibitor (such as Fluoxetine) alone, there is a concern that Jake's senses would be enhanced and he could therefore increase his anxiety. In this author's opinion, it would be advisable to treat Jake with a combination of CBT, or cognitive behavioral therapy, and serotonin inhibition, such as Fluoxetine.
In addition, Jack's wife should be implicated in two ways: (1) to explain the neurobiological and genetic factors which have affected Jake -- and could have an impact on their child in later life, and (2) to assess at a surface level whether Ally has tendencies to OCD or other forms of mental illness.
CBT would benefit Jake's OCD because it does not appear to be concomitant with other mental disorders, nor with major issues in his life (such as gambling, alcoholism, or a history of abuse). CBT's main advantages are that it is focused on the specific problem, is relatively short-term, and can have a long-lasting effect on curbing the irrational fears demonstrated in victims of OCD. If Jake showed additional symptoms or a more serious manifestation of the disorder, or a more complicated etiology due to deep psychological causes, treatment with CBT might need to be accompanied by talk therapy, meditation or other methods (Marazziti, 2001).
CBT concentrates on appealing to the rational mind and analyzing the fears, proving (in a rational fashion) that the stimulus of dirty hands, or floors, or other objects, cannot harm Jake or his family. The CBT therapist would encourage Jake note when he has urges to clean -- what are the triggering events. Then the therapist would help lead Jake through a series of aversion therapy exercises, demonstrating the positive outcomes when Jake is exposed to disorder, and gradually desensitizing him to the elements which concern him, or create tension.
What could be the outcome of CBT and Fluoxetine for Jake? The simplest indication would be that Jake reduces his obsessive-compulsive behavior a good deal. But there are additional indicators of progress or success, including better peer functioning, higher self-esteme, lower separation anxiety, and willingness to attempt new things. Thus "better" has a series of meanings, both direct and indirect (Curry, 1998).
Abramowitz, J. a. (2001). Acute Onset of Obsessive-Compulsive Disorder in Males. Psychosomatics, 428-431.
Curry, J. (1998). Predicting the Outcome of Treatment. Abnormal Child Psychology, 39-52.
Farrington D, L.R. (1990). Long-term criminal outcomes of hyperactivity-impulsivity-attentional deficit and conduct problems in childhood. In L. a. Robins, Straight and Devious Pathways From Childhood to Adulthood (pp. 62-81). Cambridge: Cambridge University Press.
Gillberg, C. (1998). Asperger Syndrome and High-Functioning Autism. British Journal of Psychiatry, 200-209.
Goodman, W. a. (2000). Obsessive-Compulsive Disorder: Contemporary Issues in Treatment. London: Routledge.
Hollander, E. (1993). Obsessive-compulsive spectrum disorders: An overview. Psychiatric Annals, 355-358.
Leckman JF, G.D. (1997). Symptoms of obsessive-compulsive disorder. American Journal of Psychiatry, 911-917.
Leckman, J. (1999). Incremental Progress in Developmental Psychopathology: Simply Complex. American Journal of Psychiatry, 1495-1498.
Marazziti, D. a. (2001). Obsessive Compulsive Disorder: A Practical Guide. London: Martin Dunitz.
Winter, J. a. (2002).…[continue]
"Abnormal Psychology OCD Diagnosis And" (2007, November 02) Retrieved December 7, 2016, from http://www.paperdue.com/essay/abnormal-psychology-ocd-diagnosis-and-34678
"Abnormal Psychology OCD Diagnosis And" 02 November 2007. Web.7 December. 2016. <http://www.paperdue.com/essay/abnormal-psychology-ocd-diagnosis-and-34678>
"Abnormal Psychology OCD Diagnosis And", 02 November 2007, Accessed.7 December. 2016, http://www.paperdue.com/essay/abnormal-psychology-ocd-diagnosis-and-34678
Other manifestations of OCD Udall exhibits include bringing his own plastic cutlery to the restaurant and his difficulty in sustaining personal relationships. These are all valid portrayals of the signs and symptoms of OCD. Part III -- Application to Social Psychological Concepts Stereotyping is a generalization about a person or group of persons. Stereotypes are developed when one is unable or unwilling to obtain all of the information needed to make
dysfunctional behavior that strikes 1 out of 40 or 50 adults and 1 out of 100 children or 2-3% of any population. It can begin at any age, although most commonly in adolescence or early adulthood - from ages 6 to 15 in boys and between 20 and 30 in women -- according to the National Institute for Mental Health. This behavioral affliction is, therefore, more common than schizophrenia
One work specifically isolates a type of treatment that is helpful for ODD or milder CD: In this book our focus is on supportive-expressive play psychotherapy for a particular kind of patient: the school-aged child who meets the criteria for oppositional defiant disorders and mild or moderately severe conduct disorders (DSM-III-R). There are, however, important qualifications. First, the child must demonstrate some capacity for genuine guilt, remorse, or shame about
Abnormal psychology is a field in psychology that addresses dysfunctions in behavior which are determined abnormally by standards of behavior .These standards have been established by clinical professionals in the field such as medical doctors, psychiatrists and psychologists. Behaviors considered to be abnormal are; schizophrenia, depression, attention deficit disorder, eating disorder, sexual deviance, obsessive compulsive disorder and anti-social disorder (Cherry, 2012). These disordered function outside the normal parameters of the
6. Describe some of research findings that demonstrate the importance of relationships to our psychological well-being. A group of researchers from the University of Georgia and the University of Kansas have found that attractive people do tend to have more social relationships and therefore an increased sense of psychological well-being. The significance of attractiveness in everyday life is not fixed, or simply a matter of human nature. The force of our
The DSM explicitly "strives to be atheoretical, using merely observationally referent terms. The hope with this is to make the manual as acceptable as possible to professionals with different theoretical orientations (Gilles-Thomas 1989, Lecture 2). Specific criteria and systematic descriptions are offered as guidance for making diagnoses. "Essential features, associated features, prevalence rates, sex ratios, family patterns, and differential diagnoses are listed" and it is noted when "alternative or
Compulsive hoarding is a disorder that is characterized by an inability discarding items that to most people appear to have little or no value. This inability to throw things away results in an accumulation of clutter that often leads to an inability to use living areas and workspaces for their intended functions. Moreover, the clutter can lead to potential serious health conditions and to safety risks of the hoarder or