RESUMO
OBJECTIVE: The aim of this paper is to report the rapid resolution of obsessions when the patient invoked Christ to treat her obsessions. CLINICAL PICTURE: A 25-year-old female presented with obsessions (doubts) that: (i) while driving she will knock down a pedestrian; and (ii) she will be charged with sex abuse. TREATMENT AND OUTCOME: Cognitive therapy (cognitive restructuring and thought-stopping) was offered. After a single session a complete remission was reported when she replaced her doubts with firm convictions that 'Christ will help me drive safely' and 'Christ will not let me do anything wrong'. She was reported to have remained well at the end of 5 months at which time she relocated and was then lost to follow-up. CONCLUSION: Religious faith can have a healing effect, and cognitive therapy is not incompatible with religion. Although unusual in standard clinical practice, rapid resolution of obsessions is possible.
Assuntos
Terapia Cognitivo-Comportamental/métodos , Cura Mental , Transtorno Obsessivo-Compulsivo/terapia , Religião e Psicologia , Adulto , Feminino , Humanos , Resultado do TratamentoRESUMO
BACKGROUND: Obsessive-compulsive disorder (OCD) has been shown to be highly prevalent in both developing and developed countries. Nevertheless, data on OCD in blacks, and black South Africans in particular, are limited. METHOD: Records of patients presenting with OCD at a tertiary hospital serving a predominantly black population were reviewed. Patient data, including demographic Information, presenting symptoms and clinical course, were collated. RESULTS: Six black South Africans had presented with OCD in the previous year. Phenomenology and psychopharmacology of the disorder were largely reminiscent of those previously reported in the International literature. CONCLUSION: Not surprisingly, black South Africans may suffer from OCD. Nevertheless, it is likely that such patients do not present for treatment or are underdiagnosed. Future rigorous epidemiological research on OCD in South Africa is necessary.
Assuntos
População Negra , Transtorno Obsessivo-Compulsivo/etnologia , Adolescente , Adulto , Antidepressivos/uso terapêutico , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Transtorno Obsessivo-Compulsivo/diagnóstico , Transtorno Obsessivo-Compulsivo/tratamento farmacológico , Prevalência , África do Sul/epidemiologiaAssuntos
Transtorno Obsessivo-Compulsivo/psicologia , Transtornos Fóbicos/psicologia , Adolescente , Adulto , Antidepressivos Tricíclicos/uso terapêutico , Clomipramina/uso terapêutico , Comorbidade , Humanos , Masculino , Inibidores da Monoaminoxidase/uso terapêutico , Transtorno Obsessivo-Compulsivo/tratamento farmacológicoRESUMO
Five patients presented with severe mood disturbance and behaviour change during the premenstruum. Suspiciousness was an important feature in four of them. They were treated with carbamazepine 200-400 mg orally at bedtime for 7 days before the onset of menses. The follow-up period varied from 1 1/2 years to 2 menstrual cycles. Four patients showed remarkable improvement; one patient dropped out because of allergic rash.
