734351
Descrição
Mapa Mental por slbuckley5, atualizado more than 1 year ago
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Criado por slbuckley5
aproximadamente 10 anos atrás
|
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issues surrounding the
classification and
diagnosis of OCD (validity)
- Validity of the diagnosis
- A valid diagnosis should be
representative of what the patient
it suffering from and should lead
to an effective treatment
- it may be difficult to
give a valid diagnosis
of OCD because...
- OCD might be 'normal'
- there are different types of OCD
- OCD is often comorbid
(combined) with other
disorders
- Some researchers suggest
OCD should not be classed as
an anxiety disorder
- OCD might be 'normal'
- A valid diagnosis should be
representative of what the patient
it suffering from and should lead
to an effective treatment
- OCD might be 'normal'
- 75% of adults have unwanted thoughts and mild
checking behaviour. When OCD becomes so
overwhelming it interferes with everyday life then can
be seen as 'abnormal'
- a valid diagnosis of OCD requires
evidence of persistence and
dysfunction otherwise danger of
unnecessarily medicating normal
behaviour
- if normal behaviour becomes a diagnosable disorder
people may receive treatment that they don't need e.g.
drugs for people who don't need them could lead to
negative side effects. Label- self fulfilling prophecy
- the current criteria for OCD says
obsessions and compulsions have to
cause distress for a diagnosis to be made.
If someone is distress they clearly need
help and therefore a reason to stay with
this current diagnostic criteria
- 75% of adults have unwanted thoughts and mild
checking behaviour. When OCD becomes so
overwhelming it interferes with everyday life then can
be seen as 'abnormal'
- there are different types of OCD
- Some psychologists believe
there is more than one
disorder
- Jakes (1996) suggests there are sub groups of
patients who differ in compulsions e.g. some have
more checking rituals. Should not ignore sub groups as
they made need different treatments
- However, Rasmussen and Eisen (1991) found certain factors common in all
cases: overwhelming anxiety, fear of something terrible happening and belief
compulsion provides relief from obsession
- Some psychologists believe
there is more than one
disorder
- OCD is often comorbid with
other disorders
- difficult to give a valid diagnosis because OCD occurs
with other disorders. Studies suggest 67% of OCD
sufferers also have depression. Therefore sometimes
difficult to separate two disorders
- Lennkh et al found that of 66 females who met
the criteria for anorexia or bulimia, 7 had current
OCD while 5 had a history of OCD. As well
patients with comorbid OCD had significantly
higher lifetime prevalence of bipolar, phobias and
somatoform disorders.
- it is important for clinicans to
identify which disorder occurred
first e.g. if OCD occurs as a
symptom of an eating disorder
then no point treating OCD until
treated eating disorder
- it is important for clinicans to
identify which disorder occurred
first e.g. if OCD occurs as a
symptom of an eating disorder
then no point treating OCD until
treated eating disorder
- difficult to give a valid diagnosis because OCD occurs
with other disorders. Studies suggest 67% of OCD
sufferers also have depression. Therefore sometimes
difficult to separate two disorders
- maybe OCD should not be classed as an anxiety disorder
- OCD is currently classes as an anxiety disorder although
some researchers suggest that this is not valid as there are
distinctive differences between OCD and other anxiety
disorders
- The obsessive thoughts of OCD are often
irrational and very different to the real life
worries of generalised anxiety.
- People with Phobias generally only show
concern when in the presence of the
phobic stimuli whereas OCD sufferers
show persistant and excessive thoughts
and feared stimuli, even in its absence.
- The obsessive thoughts of OCD are often
irrational and very different to the real life
worries of generalised anxiety.
- it might be more valid to place OCD
alongside OCD spectrum disorders such as
Tourette's, hypochondria and impulse control
disorders like kleptomania
- OCD is currently classes as an anxiety disorder although
some researchers suggest that this is not valid as there are
distinctive differences between OCD and other anxiety
disorders
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