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Obessions: Re ocurring thoughts that are in appropraite and irrational that causes high levels of anxiety.

Compulsions: Repetitive behaviours that are done to reduce anxiey caused by the obessive thoughts.

Diagnosisng : Recurrent obessions and comulsions, recognition that they are irrational, the OCD is disturbing their daily life.

Case study (Rapoport): The boy who could not stop washing. H estarted washing obessiveley, eventually it interupted his daily life as he stopped going to school. The ritual consisted of running the tap on his right hand whilst holding soap, he would do this for one minute and then transfer it to his left hand. He would repeat this for an hour. He would then spend another two hours washing before getting dressed, he reported having stickiness on his skin that could not be removed. Orginally his mother attempted to stop his obessive behaviour but when he got upset she staretd to join in by preventing people from enetring the house and washing the house with alcohol based substances so that there was no presence of germs that could upset Charles. For his treatment they wanted to use an EEG bu he refused because of the stickiness he found itto be like a disease. So instead he had drug therapy for a year but he grew tolerant to the drugs. He did only engage in OCD behaviour in the evening.

Rachman Hypervigillance:  severe fear of diseases (encounter of blod), She ahs catstrophig  houghts about harm comign to in particular catching AIDS comign from a small plaster. She then overt estimated the fact that she would come into contact with someone who had AIDS. He noted that when she went out in public eher eyes would rapidy scan the environement and the people she saw. Her hypervigilance meant she could recall in great detail blood related items.

Measuring (Maudsley inventory):  Rachman developed this so that it consist of 30 true/false items. There are


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