obsessive-compulsive & related disorderscaleblack.com/psy4960_files/01-intro.pdf– appearance...
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7/20/16
www.caleblack.com 1
Obsessive-Compulsive&RelatedDisorders
PSY4960/5960
IntercessionRules
• Westartpromptlyat8am,donotbelate
• Wewillhavebreaksevery1.5hoursorso[
• Youwillreturnpromptlyfrombreaks
• Wewillbreakforlunchforatleastanhoureachday
IntercessionInfo
• Allmaterialsareonmywebsite– Syllabi– Supplementalreadings– Lecturenotes
• Iwillgiveyouapacketcontainingallofthehomeworkforms
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SyllabusTime!
IntroducTontotheObsessive-CompulsiveandRelatedDisorders
OperaTonalDefiniTons
• Likelove,beauty,truth,wealth,andsomanyotherthings,“mental”disordersarea…
• Thisdoesnotrobthemoftheirimportance
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PsychiatricDisorders• Abehavioralorpsychologicalsyndrome/paZernthat
occursinanindividual
• ReflectsanunderlyingpsychobiologicaldysfuncTon
• Consequencesareclinicallysignificantdistressordisability
• Notanexpectableresponsetocommonstressors/lossesoraculturallysancTonedresponsetoaparTcularevent
• Notprimarilyaresultofsocialdevianceorconflictswithsociety
Steinetal.(2010)
PsychiatricDisorders
• HavediagnosTcvalidityandclinicaluTlity
• NodefiniTonperfectlyspecifiespreciseboundariesfortheconceptofeither“medicaldisorder”or"mental/psychiatricdisorder”
• DiagnosTcvalidatorsandclinicaluTlityshouldhelpdifferenTateadisorderfromdiagnosTc“nearestneighbors”
Steinetal.(2010)
MajorChangesintheDSM-5
• ThefifhediTonoftheDSMincludedanewchapterTtled“Obsessive-CompulsiveandRelatedDisorders”
• PulledtogetherbothdiagnosesfrommulTplepreviouscategoriesandnewdiagnoses
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Obsessive-CompulsiveDisorder• FormerlyinAnxietyDisorders
BodyDysmorphicDisorder• FormerlyinSomatoformDisorders
HoardingDisorderExcoriaTon(skin-picking)• Newdisorders
TrichoTllomania(Hair-pulling)○ FormerlyinImpulseControlDisorders
OC&RDisorders
• Somewhatcontroversial,butreorganizedfortwoprimaryreasons1) toreflecttheincreasingevidenceofthesedisorders’
relatednesstooneanotheranddisTncTonfromotheranxietydisorders
2) tohelpcliniciansbeZeridenTfyandtreatindividualssufferingfromthesedisorders
• ChapterisplacednexttoAnxietyDisorderstoreflectsimilariTesandoverlapbetweenthem
OC&RDisorders
• AllhavefeaturesincommonsuchasanobsessivepreoccupaTonandrepeTTvebehaviors
• TheyhaveenoughsimilariTestogroupthemtogetherinthesamediagnosTcclassificaTon
• Butalso,haveenoughimportantdifferencesbetweenthemtoexistasdisTnctdisorders
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OCRDHW#1
• Now,youwillcompleteandscorevarioussymptomscalesfortheOCRDs– AppearanceAnxietyInventoryforBDD– OCI-RforOCD– SavingsInventory,RevisedforHoarding– MIST-AandMGHSforTrich– DLQIandSPSforExcoriaTon– YGTSSforTcs
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