Uncontrollable association

Introduction Obsessive-compulsive disorder (OCD) is a neurosis characterized by obsessive-compulsive and forced movements. It is characterized by the simultaneous existence of conscious self-forcing and conscious self-reforcement. The patient knows that the persistence of obsessive-compulsive symptoms is meaningless and unreasonable, but it cannot be restrained and repeated. The more it tries to resist, the more nervous and painful. The continuation of the course can be a ritual movement, although the mental pain is significantly relieved, but its social function has been seriously impaired.

Cause

First, observe the learning hypothesis

According to learning theory, observation is a conditional stimulus that leads to anxiety. Due to the original anxiety-induced stimuli (unconditional reflex), actual anxiety is obtained through observation and thinking. In this way, in fact, individuals have learned a new drive. Although coercion can be learned on different ways, once acquired, the individual finds that some activities by obsessive doctrine can help reduce anxiety. When anxiety occurs, the individual's anxiety is relieved by coercion. This result reinforces personal coercion. Moreover, because of this useful method, the individual's acquired internal drive (anxiety) is successfully dispelled, and thus gradually stabilizes and becomes part of the acquired sexual behavior.

Second, the system family assumption

This hypothesis holds that the illness expresses the destruction of the system, and this system exists in the interpersonal relationship, and the interaction between the members forms a certain system. Here, the individual's behavior is caused by the actions of others, and in turn, he will influence others in a cyclical way. This is a mutual causal relationship. There is no clear head and tail, and the interaction is mainly based on the principle of "attracting each other".

an examination

Related inspection

Optic nerve examination

1. Uncontrollable recurrence of certain ideas, actions or intentions, accompanied by emotional experiences of anxiety and pain.

Second, the patient knows that these symptoms are unreasonable, unnecessary, but difficult to get rid of, and urgently require treatment.

Third, the work of the patient, the learning efficiency is significantly reduced, and has a negative impact on daily life.

Fourth, pre-existing personality characteristics and course of disease can help diagnose. The course of the disease can be long or short, and the duration of the study case is at least three months.

Fifth, to exclude schizophrenia, depression and obsessive-compulsive symptoms associated with brain organic diseases.

Differential diagnosis

Temporal lobe epilepsy: Occasionally, obsessive-compulsive behaviors and behaviors can occur, and there are other symptoms of temporal lobe epilepsy. EEG, EEG topographic maps, etc. can help identify.

Generalized Anxiety Disorder: Generalized anxiety and obsessive-compulsive disorder have many similarities in excessive anxiety. However, unlike forced thinking, excessive sexual anxiety, the specific content of its anxiety generally exists in real life, and patients It's not appropriate to disagree with your own worries (self-coordinating ego syntonic), they don't feel that they shouldn't worry about those things. The content of forced thinking is generally fictitious, and the patients think that these ideas are inappropriate (self-incompatible ego dystonic), they think that these thoughts should not appear. In addition, patients with generalized anxiety disorder and obsessive-compulsive disorder are worried about their daily routines, such as worrying that their children will get sick, and patients with generalized anxiety disorder will worry about the long-term consequences of illness (such as learning to decline, body Debilitating, etc.), and patients with obsessive-compulsive disorder will pay attention to the pathogens of the disease (such as the cold virus in their children will breed in large numbers). For those who do not have forced action, only forced thinking, especially to distinguish between anxiety and forced thinking.

Phobia: Specific phobias and obsessive-compulsive disorder are very similar if ritual behavior is not considered. For example, patients with bacteria and mice can often reduce anxiety by successfully avoiding mice. However, for patients with obsessive-compulsive disorder, if he has a forced thinking of mouse virus, he still feels like the mouse has gone. Infected by bacteria, even if you know that somewhere only a few hours before the mouse appears, you will feel infected. These problems usually lead to subsequent evasive behavior (such as washing clothes, bathing, etc.). These behaviors usually do not occur in specific phobia patients.

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