Separating hoarding from OCD

There is confusion about the status of excessive hoarding. In particular, there is an unresolved question about whether or not it is a manifestation of obsessive-compulsive disorder (OCD). There are some definite similarities between ‘compulsive’ hoarding and OCD, but they are outweighed by the differences between them. It is proposed that the matter can be clarified by separating hoarding from OCD, and that this would advance clinical work and research.     

Spontaneous decay of compulsive urges: the case of covert compulsions

It is well established that many patients with obsessive-compulsive disorder have covert, or internal, compulsions. Empirical studies of this phenomenon, however, are limited. The present study followed the paradigm developed by Rachman and his colleagues for the study of overt compulsions. Patients with urges to carry out covert compulsions underwent an experimental procedure in which their compulsive urges were provoked, followed by a period of response prevention. The strength of the compulsive urges and associated discomfort were monitored. There was marked, and relatively rapid, spontaneous decay of both the compulsive urges and the discomfort. Implications of these results are discussed.     

Exploring Latent Profiles of Psychopathology in a Sample of Lonely People Seeking Treatment

Journal of Psychopathology and Behavioral Assessment - Loneliness is a common experience in populations experiencing mental health problems. Associations with symptoms of psychopathology are...     

A randomised controlled trial of cognitive-behaviour therapy for clinical perfectionism: a preliminary study

Perfectionism can be a problem in its own right and it can impede the progress of treatment of Axis I disorders. This study reports on a preliminary randomised controlled trial of cognitive-behaviour therapy (CBT) for "clinical perfectionism". Twenty participants were randomly assigned to either immediate treatment (IT) (n=10) or a wait list (NL) (n=10). Treatment consisted of ten sessions of CBT over eight weeks. Two participants did not complete the follow-up assessments (10%). Fifteen of the original 20 participants (75%) were clinically significantly improved after treatment and the effect size was large (1.8). Treatment gains were maintained at 8-week and 16-week follow-up.     

Revealing Gender Double Standards in the Parenthood Norm Depends on Question Order

Becoming a parent has been described as a dominant social norm, especially for women. Though some research has indicated changes toward more flexible gendered parenthood norms, methodological issues may be masking the continued presence of a gender double standard. In line with the condition for activation of double standards, we postulated that endorsement of the parenthood norm would vary depending on the response context. Our aim was to analyze the parenthood norm for women and for men taking into account the response context in a quantitative survey. In a French nationally-representative sample, more than 4,000 female and male adults were asked whether a woman/man can have a fulfilled life without having children in two questions presented in a random order. Based on the literature on question-order effects, the answer to the first question should be influenced by the participant’s personal background (e.g., gender, parental status), i.e., the personal background context, whereas the question asked second should be influenced by the comparison with the first question, i.e. the social relational context. In the personal background context, the own-gender parenthood norm was endorsed more strongly than the other-gender parenthood norm by both female and male participants. In contrast, in the social relational context, the parenthood norm for women was endorsed more strongly than the parenthood norm for men by both female and male participants. Our results showed a strong gender double standard observed only in the comparative context and illustrates the need to use appropriate survey methodology to examine the presence of gendered social norms.

     

Clinical perfectionism: a cognitive-behavioural analysis

This paper reviews the characteristics of clinical perfectionism and proposes a new definition of the phenomenon. It is suggested that the defining feature of clinically significant perfectionism is the overdependence of self-evaluation on the determined pursuit (and achievement) of self-imposed personally demanding standards of performance in at least one salient domain, despite the occurrence of adverse consequences. It is suggested that such clinical perfectionism is maintained by the biased evaluation of the pursuit and achievement of personally demanding standards. Specifically, it is suggested that people with perfectionism react to failure to meet their standards with self-criticism. If they do meet their standards, the standards are re-evaluated as being insufficiently demanding. Anorexia nervosa and bulimia nervosa are considered to have a particular relationship to perfectionism, with both disorders often being direct expressions of perfectionism. Under these circumstances self-evaluation is dependent on the pursuit and attainment of personally demanding standards in the domain of control over eating, shape and weight. The implications of this analysis for research and practice are considered.     

Correction to: Exploring Latent Profiles of Psychopathology in a Sample of Lonely People Seeking Treatment

Journal of Psychopathology and Behavioral Assessment -