Obsessive-compulsive disorder overview _87731

							?Obsessive-compulsive disorder
overview

?

From: www.cmha.cn

Obsessive-compulsive disorder in the etiology and pathogenesis is a
cause of more complex mental disorder, many researchers from nerve
biochemistry, communication science and psychology, and other ways to
explore the causes of this phenomenon, however, to date, there is not
a very convincing explanation. The following lists several main
hypothesis and influencing factors. Beijinghuilongguanyiyuan clinical
psychology section Zhao e. wise
The hypothesis of a, psychological dynamics
According to the psychological dynamics, obsessive compulsive
disorder is originated from the psychological development of anal
phase, begin toilet training period. Then, between parents and
children, on the one hand, on the other hand require obedience
without constraint, such inequality of opposition caused the child's
inner conflict and anxiety, sexual and psychological development
remain in this stage, to become the future basis for psychological
and behavioral degradation. Once individuals have external pressure,
will reproduce anal stage of conflict and personality.

Second, the observation of the study hypothesis

According to the learning theory, observation is causing anxiety
conditions of sexual stimulation. Since the original anxiety-inducing
stimulation connection (no conditioning), through observation and
stimulation of thinking, and get the real anxiety. So, in fact, the
individual will have a new acquisition of drives. Although forced can
be based on different ways of learning, however, once obtained, the
individual will find with forced concept of some activities can help
reduce anxiety anxiety whenever occurring, use of force, individual
anxiety will get mitigation, this result reinforces the individuals
forced. And, because this kind of useful methods to successfully rid
the individual acquired drive (anxiety), thus gradually stabilized,
become part of the acquisition of sexual behavior.

III. system family assumptions

This assumption is of the view that the disease was the destruction
of the system, this system exists in interpersonal relationships, the
interaction between members of the Alliance of the system. Here, the
individual's behavior is due to the impact of the actions of others,
in turn, he will take a round-robin fashion to influence others. This
is the kind of relationship between each other, do not have a clear
head and tail, primarily on the basis of "mutual attraction"
principle for the interaction.

IV. Rachman-Hodgson assumptions

Rachman & Hodgson in analysis of some past studies made on the basis
of the results of obsessive-compulsive disorder causes may include
the following four areas of interaction. 1. genetic factors; 2. mood
disorders; 3. social learning; 4. special experience of learning.
They assume, obsessive compulsive disorder is a continuous change in
the behavior patterns of development, because of the above aspects in
different cases of succession, causing individuals ultimately evolved
into obsession.

5. psychoanalysis: Freud considered pathological obsession is the
mandatory character of the further development, is the result of a
defense mechanism cannot handle the compulsory character of anxiety,
then produced a compulsive symptoms.

6. conditioning: Pavlov to cortical isolated pathological lesions of
inert excitement to the interpretation of this physiological prolapse.

7. quality in particular disease etiology of the disease before the
personality plays an important role: about 2/3 of patients with
obsessive compulsive disorder is compulsory before the personality or
mental infirmity. Its main features are: strives to maintain its own
and tight control of the environment, their attention to detail, do
anything to accurate and complete, but even so it is still "not
perfect" and "unsafe" and "not OK" feeling. They are well-behaved, or
lack of decisiveness, hesitant, rely on obedience, or behave as
stubborn, obstinate and rigid ningzhebuwan and quick-tempered.

8. social and psychological factors are important predisposing
factors for obsessive compulsive disorder: such as work and life
changes in the environment, responsible aggravation, distress, fear
of accidents, the family or due to bereavement, subject to sudden
shock and so on. Some normal person occasionally have forced concept
but not continuously, but can be influenced by social factors were
reinforced by persistent, forming of obsessive-compulsive disorder.

9. genetic disease which occurred in may plays a role: for example
the patient's parents in obsessive-compulsive disorder prevalence of
5%-7% incidence than groups is much higher. Patients, parents and
children, in the case of forced sexual personality a lot.

Ten, and biochemical research: Tips 5-hydroxytryptamine (5-HT) system
enhancements and the pathogenesis of, therefore 5-HT reuptake
inhibitors such as Clomipramine, fluorine and fluorine v West Ding
butachlor are better for obsessive-compulsive disorder. Other
research tips this disease and depression--the existence of
incidence > chain relationships, such as this in 25%-40% on the
beautiful pine-inhibition test (DST) does not inhibit, some patients
polysomnography show rapid eye movement sleep (REM) incubation period
is shortened, etc.




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