COVID-19, obsessive-compulsive disorder and invisible life forms that threaten the self
COVID-19, obsessive-compulsive disorder and invisible life forms that threaten the self
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DOI：
10.1016/j.jocrd.2020.100558
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发表时间：
2020-07-01
影响因子：
1.8
通讯作者：
Aardema, Frederick
中科院分区：
文献类型：
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作者：
Aardema, Frederick
本次交流探讨了当前冠状病毒大流行背景下强迫症（OCD）的独特特征。强迫症中对污染的非理性恐惧何时开始与理性恐惧和行为产生分歧？当前的论文认为，病毒和细菌的个人意义，包括将它们拟人化为具有类人特征的实体，使它们能够威胁和侵犯个人的身份。具体来说，它表明，当病毒和细菌的威胁变得个人化时，对污染的恐惧就会变得强迫症，这不仅是因为其客观结果，而且是因为强迫症患者对内心腐败的恐惧，这些生命形式能够威胁自我。当强迫症患者害怕传染时，他们可能会表现得好像或相信自己是在根据现实采取行动，但实际上，他们只是根据与现实本身相混淆的内心腐败的潜在恐惧而采取行动。本文最后提出了一些关于如何在当前大流行背景下治疗对污染的强迫性恐惧的临床建议。
This communication explores unique characteristics of obsessive-compulsive disorder (OCD) in the context of the current coronavirus pandemic. When do irrational fears of contamination as seen in OCD start to diverge from rational fears and behaviors? The current paper argues that the personal meaning attributed to viruses and germs, including their personification as entities that possess human-like characteristics, allows them to threaten and violate an individual's identity. Specifically, it suggests that fears of contamination become obsessional when the threat of viruses and germs becomes personal, not solely in terms of its objective outcomes, but in how these life forms are able to threaten the self as the result of a fear of inner corruption characterizing those with OCD. The person with OCD may act as if, or believe that they are acting upon reality when they fear contagion, but are in effect only acting upon an underlying fear of inner corruption that is confused with reality itself. The current paper concludes with some clinical recommendations on how to treat obsessional fears of contamination in the context of the current pandemic.