OCD in a Cultural Context: A Phenomenological Approach

OCD in a Cultural Context: A Phenomenological Approach
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文化背景下的强迫症:现象学方法

DOI:
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发表时间:
2009
影响因子:
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通讯作者:
Z. Mahmood
Z. Mahmood
中科院分区:
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文献类型:
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作者:
S. Saleem;Z. Mahmood

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这项研究试图调查我们文化中的强迫症(OCD)现象。最初,我们通过半结构化访谈从 20 名确诊的客户中找出了强迫症的症状。 10 位经验丰富的临床医生验证了这些症状的诊断相关性。最终的 27 种症状清单分别提供给 113 名强迫症参与者。结果显示,最常报告的强迫观念是重复的消极想法(97%)、担心患上精神疾病(92%)、优柔寡断(87%)和对细菌的恐惧(82%),其次是性想法(81%)。最常见的强迫行为是洗手(90%)、强迫性缓慢(86%)、计数(73%)、检查(64%)和对称(53%)。研究发现,虽然强迫行为的类型与其他研究中报告的类似,但强迫行为的形式和内容似乎受到社会和宗教背景的影响。在文化背景下讨论强迫症现象、其合并症和表现症状。
This study is an attempt to investigate the phenomenon of Obsessive Compulsive Disorder (OCD) in our culture. Initially, presenting symptoms of OCD were elicited from 20 firmly diagnosed clients through semi structured interviews. The symptoms were validated for their diagnostic relevance by 10 experienced clinicians. A final list of 27 symptoms were individually given to 113 OCD participants. The results showed that the most frequently reported obsessions were repetitive negative thoughts (97%), fear of developing mental illness (92%), indecisiveness (87%), and fear of germs (82%) followed by sexual thoughts (81%). The most frequently occurring compulsions were hand washing (90%), compulsive slowness (86%), counting (73%), checking (64%), and symmetry (53%). It was found that while the types of compulsions were similar to those reported in other studies, the form and the content of obsessions were seem to be influenced by social and religious backgrounds. The phenomenon of OCD is discussed in cultural context, its comorbidity and presenting symptoms.