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Obsessive-compulsive disorder and delusions revisited
The concept of fixed, unshakeable (delusional) beliefs within the context of obsessive-compulsive disorder (OCD) is one that has received varying amounts of attention in the literature, and has not yet received universal acknowledgement. There are good grounds for including these cases within the di...
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Published in: | British journal of psychiatry 2000-03, Vol.176 (3), p.281-284 |
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description | The concept of fixed, unshakeable (delusional) beliefs within the context of obsessive-compulsive disorder (OCD) is one that has received varying amounts of attention in the literature, and has not yet received universal acknowledgement. There are good grounds for including these cases within the diagnostic concepts of OCD, with significant implications for clinical management.
To present cases with unusual OCD, in order to re-evaluate the issue of delusions and OCD.
The cases of five subjects with delusions in the course of obsessive-compulsive disorder are presented to illustrate 'delusional' OCD. The management and outcome of these cases are discussed.
Fixity and bizarreness of beliefs in OCD occur on a continuum from 'none' to 'delusional intensity' and may fluctuate within subjects.
The idea that these cases may represent a form of OCD has implications for management, as, if this is correct, they should be able to respond to appropriate behavioural and/or pharmacological strategies used in OCD. |
doi_str_mv | 10.1192/bjp.176.3.281 |
format | article |
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To present cases with unusual OCD, in order to re-evaluate the issue of delusions and OCD.
The cases of five subjects with delusions in the course of obsessive-compulsive disorder are presented to illustrate 'delusional' OCD. The management and outcome of these cases are discussed.
Fixity and bizarreness of beliefs in OCD occur on a continuum from 'none' to 'delusional intensity' and may fluctuate within subjects.
The idea that these cases may represent a form of OCD has implications for management, as, if this is correct, they should be able to respond to appropriate behavioural and/or pharmacological strategies used in OCD.</description><identifier>ISSN: 0007-1250</identifier><identifier>EISSN: 1472-1465</identifier><identifier>DOI: 10.1192/bjp.176.3.281</identifier><identifier>PMID: 10755077</identifier><language>eng</language><publisher>Cambridge, UK: Cambridge University Press</publisher><subject>Adolescent ; Adult ; Age ; Behavior Therapy ; Child ; Delusions ; Delusions - etiology ; Delusions - psychology ; Delusions - therapy ; Disease Management ; Female ; Health care management ; Humans ; Male ; Neuroses ; Obsessive compulsive disorder ; Obsessive-Compulsive Disorder - complications ; Obsessive-Compulsive Disorder - psychology ; Obsessive-Compulsive Disorder - therapy ; Patients ; Psychiatry ; Psychosis ; Serotonin Uptake Inhibitors - therapeutic use</subject><ispartof>British journal of psychiatry, 2000-03, Vol.176 (3), p.281-284</ispartof><rights>Copyright © 2000 The Royal College of Psychiatrists</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-3e96d4eb2484b80e4a58d30dd2ecdddd1f4946974a0bd9c4ba6cbf83de6edef43</citedby><cites>FETCH-LOGICAL-c488t-3e96d4eb2484b80e4a58d30dd2ecdddd1f4946974a0bd9c4ba6cbf83de6edef43</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.proquest.com/docview/2389378021/fulltextPDF?pq-origsite=primo$$EPDF$$P50$$Gproquest$$H</linktopdf><linktohtml>$$Uhttps://www.proquest.com/docview/2389378021?pq-origsite=primo$$EHTML$$P50$$Gproquest$$H</linktohtml><link.rule.ids>314,780,784,12846,21394,21395,27924,27925,30999,33611,33612,34530,34531,43733,44115,72960,74221,74639</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/10755077$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>O'Dwyer, Anne-Marie</creatorcontrib><creatorcontrib>Marks, Isaac</creatorcontrib><title>Obsessive-compulsive disorder and delusions revisited</title><title>British journal of psychiatry</title><addtitle>Br J Psychiatry</addtitle><description>The concept of fixed, unshakeable (delusional) beliefs within the context of obsessive-compulsive disorder (OCD) is one that has received varying amounts of attention in the literature, and has not yet received universal acknowledgement. There are good grounds for including these cases within the diagnostic concepts of OCD, with significant implications for clinical management.
To present cases with unusual OCD, in order to re-evaluate the issue of delusions and OCD.
The cases of five subjects with delusions in the course of obsessive-compulsive disorder are presented to illustrate 'delusional' OCD. The management and outcome of these cases are discussed.
Fixity and bizarreness of beliefs in OCD occur on a continuum from 'none' to 'delusional intensity' and may fluctuate within subjects.
The idea that these cases may represent a form of OCD has implications for management, as, if this is correct, they should be able to respond to appropriate behavioural and/or pharmacological strategies used in OCD.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Age</subject><subject>Behavior Therapy</subject><subject>Child</subject><subject>Delusions</subject><subject>Delusions - etiology</subject><subject>Delusions - psychology</subject><subject>Delusions - therapy</subject><subject>Disease Management</subject><subject>Female</subject><subject>Health care management</subject><subject>Humans</subject><subject>Male</subject><subject>Neuroses</subject><subject>Obsessive compulsive disorder</subject><subject>Obsessive-Compulsive Disorder - complications</subject><subject>Obsessive-Compulsive Disorder - psychology</subject><subject>Obsessive-Compulsive Disorder - therapy</subject><subject>Patients</subject><subject>Psychiatry</subject><subject>Psychosis</subject><subject>Serotonin Uptake Inhibitors - therapeutic use</subject><issn>0007-1250</issn><issn>1472-1465</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2000</creationdate><recordtype>article</recordtype><sourceid>7QJ</sourceid><sourceid>ALSLI</sourceid><sourceid>HEHIP</sourceid><sourceid>M2R</sourceid><sourceid>M2S</sourceid><recordid>eNptkMtLAzEQh4MotlaPXqUieNttXrvJHqX4gkIveg6bZLZN2e2uSbfS_96UFnzgXGYGPn4zfAhdE5wSUtCJXnUpEXnKUirJCRoSLmhCeJ6doiHGWCSEZniALkJYxZVxKs7RgGCRZViIIcrmOkAIbguJaZuur_fj2LrQegt-XK7t2ELdB9euw9jD1gW3AXuJzqqyDnB17CP0_vT4Nn1JZvPn1-nDLDFcyk3CoMgtB0255Fpi4GUmLcPWUjA2Fql4wfNC8BJrWxiuy9zoSjILOVioOBuh-0Nu59uPHsJGNS4YqOtyDW0flCCY5QWTEbz7A67a3q_jb4oyWTAhMSWRSg6U8W0IHirVedeUfqcIVnubKtpU0aZiKtqM_M0xtdcN2B_0QV8Ebg_A0i2Wn86D8qYLO7P8FTI5Hi0b7Z1dwPdv_5_9AlZIi6U</recordid><startdate>20000301</startdate><enddate>20000301</enddate><creator>O'Dwyer, Anne-Marie</creator><creator>Marks, Isaac</creator><general>Cambridge University Press</general><general>RCP</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7TK</scope><scope>7XB</scope><scope>88G</scope><scope>88J</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20000301</creationdate><title>Obsessive-compulsive disorder and delusions revisited</title><author>O'Dwyer, Anne-Marie ; Marks, Isaac</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-3e96d4eb2484b80e4a58d30dd2ecdddd1f4946974a0bd9c4ba6cbf83de6edef43</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2000</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Age</topic><topic>Behavior Therapy</topic><topic>Child</topic><topic>Delusions</topic><topic>Delusions - etiology</topic><topic>Delusions - psychology</topic><topic>Delusions - therapy</topic><topic>Disease Management</topic><topic>Female</topic><topic>Health care management</topic><topic>Humans</topic><topic>Male</topic><topic>Neuroses</topic><topic>Obsessive compulsive disorder</topic><topic>Obsessive-Compulsive Disorder - complications</topic><topic>Obsessive-Compulsive Disorder - psychology</topic><topic>Obsessive-Compulsive Disorder - therapy</topic><topic>Patients</topic><topic>Psychiatry</topic><topic>Psychosis</topic><topic>Serotonin Uptake Inhibitors - therapeutic use</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>O'Dwyer, Anne-Marie</creatorcontrib><creatorcontrib>Marks, Isaac</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Social Sciences Premium Collection【Remote access available】</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Neurosciences Abstracts</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni)</collection><collection>ProQuest Central</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>AUTh Library subscriptions: ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Psychology Database (ProQuest)</collection><collection>ProQuest Research Library</collection><collection>Social Science Database</collection><collection>ProQuest sociology</collection><collection>Research Library (Corporate)</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>British journal of psychiatry</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>O'Dwyer, Anne-Marie</au><au>Marks, Isaac</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Obsessive-compulsive disorder and delusions revisited</atitle><jtitle>British journal of psychiatry</jtitle><addtitle>Br J Psychiatry</addtitle><date>2000-03-01</date><risdate>2000</risdate><volume>176</volume><issue>3</issue><spage>281</spage><epage>284</epage><pages>281-284</pages><issn>0007-1250</issn><eissn>1472-1465</eissn><abstract>The concept of fixed, unshakeable (delusional) beliefs within the context of obsessive-compulsive disorder (OCD) is one that has received varying amounts of attention in the literature, and has not yet received universal acknowledgement. There are good grounds for including these cases within the diagnostic concepts of OCD, with significant implications for clinical management.
To present cases with unusual OCD, in order to re-evaluate the issue of delusions and OCD.
The cases of five subjects with delusions in the course of obsessive-compulsive disorder are presented to illustrate 'delusional' OCD. The management and outcome of these cases are discussed.
Fixity and bizarreness of beliefs in OCD occur on a continuum from 'none' to 'delusional intensity' and may fluctuate within subjects.
The idea that these cases may represent a form of OCD has implications for management, as, if this is correct, they should be able to respond to appropriate behavioural and/or pharmacological strategies used in OCD.</abstract><cop>Cambridge, UK</cop><pub>Cambridge University Press</pub><pmid>10755077</pmid><doi>10.1192/bjp.176.3.281</doi><tpages>4</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adolescent Adult Age Behavior Therapy Child Delusions Delusions - etiology Delusions - psychology Delusions - therapy Disease Management Female Health care management Humans Male Neuroses Obsessive compulsive disorder Obsessive-Compulsive Disorder - complications Obsessive-Compulsive Disorder - psychology Obsessive-Compulsive Disorder - therapy Patients Psychiatry Psychosis Serotonin Uptake Inhibitors - therapeutic use |
title | Obsessive-compulsive disorder and delusions revisited |
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