OBSESSIVE-COMPULSIVE PARTICULARITIES BEFORE AND AFTER REMISSION OF ACUTE PHASE EPISODES OF SCHIZOPHRENIA
Keywords:Schizo-Obsessive Disorder, Partial Insight, Pseudohallucinations, Rituals, Hypermnesic Mentism, Paranoid Fears
Motivation/Background: We aim at presenting a case that would circumscribe to the concept of schizo-obsessive disorder, in which the onset at the end of adolescence was with OC phenomenology, the negative symptoms appearing subsequently, while the productive perceptual and ideational area (auditory hallucinations and pseudohallucinations, next to the reference delusional ideation and Kandinsky Clerambault syndrome) developed at about one year and a half after social insulation. To be noticed that in residual phases, OC phenomenology acquires other connotations than those prior to schizophrenia onset, the patient never acquiring again a total insight on the disorder.
Method: Computed EEG, psychiatric interview, psychodynamic interview, psychiatric and psychological monitoring of daily evolution under treatment, life map, heteroanamnesis, psychological tests, psychodynamic interpretations.
Results: According to Poyurovsky’s guide, the case circumscribes to the diagnostic of schizo-obsessive disorder. When obsessions and compulsions were related to the content of delusional ideas and hallucinations, other typical rituals of obsessive-compulsive disorders appeared too, the patient considered sometimes irrational and excessive.
Conclusions: Social degradation of the patient is dictated mainly by the negative dimension of schizophrenia, secondly by energy consumption in fulfilling the rituals and compulsions and last but not least by the mood change in depressive sense.
Calvert, S.L., Strouse, G.A., Murray, K.J. (2006). Measuring Individual Differences in Empathy: Evidence for a Multidimensional Approach. Journal of Personality and Social Psychology, 44 (1).
Swets M, D. J.-v. (2014). The obsessive-compulsive spectrum in schizophrenia, a meta-analysis and meta-regression exploring prevalence rates. Schizophr Res. Feb;152(2-3):458-68. doi: 10.1016/j.schres.2013.10.033. Epub 2013 Dec 19 DOI: https://doi.org/10.1016/j.schres.2013.10.033
Kaplan, B., Sadock,V. (2001): Pocket Manual of Clinical Psychiatry. Third Edition. Bucharest: Medical Publishing House.
Schirmbeck F, Z. M. (2013). Comorbid obsessive-compulsive symptoms in schizophrenia: contribution of pharmacological and genetic factors. Front Pharmacol. Aug 9; 4:99. doi: 10.3389/fphar.2013.00099. eCollection 2013 DOI: https://doi.org/10.3389/fphar.2013.00099
Davison, G.C., Neale, J.M. (1998). Abnormal Psychology, Seventh Edition. New York, NY: John Wiley & Sons, Inc.
Calvert, S.L., Strouse, G.A., Murray, K.J. (2006). Empathy for adolescents' role model selection and learning of DVD content. Journal of Applied Developmental Psychology, 27. DOI: https://doi.org/10.1016/j.appdev.2006.06.005
Seedat F, R. J. (2007). Prevalence and clinical characteristics of obsessive compulsive disorder and obsessive compulsive symptoms in Afrikaner schizophrenia and schizo-affective disorder patients. Afr J Psychiatry (Johannesbg). Nov;10(4):219-24.
Frick, A., Gingnell, M., Marquand, A.F., Howner, K., Fischer, H., Kristiansson, M., Williams, S.C.R., Fredrikson, M., Furmark, T. (2013). Classifying social anxiety disorder using multivoxel pattern analyses of brain function and structure. Behavioral Brain Research, 259.
TianHang Zhou, B. B. (2016). Schizo-Obsessive Disorder: the epidemiology, diagnosis and treatment of comorbid schizophrenia and OCD. Institute of Mental Health, Peaking University, Beijing, China.
Tandon R, K. M. (2008). Epidemiology and etiology- Schizophrenia “just the facts” what we know in 2008. Schizophrenia Research 100 (2008) 4–19
Ucok A, C. M. (2011). Obsessive compulsive disorder and symptoms may have different effects on schizophrenia. Prog Neuropsychopharmacol Biol Psychiatry. Mar 30;35(2):429-33. doi: 10.1016/j.pnpbp.2010.08.021. Epub 2010 Sep 8 DOI: https://doi.org/10.1016/j.pnpbp.2010.08.021
Sterk B, L. K. (2011). Obsessive-compulsive symptoms in first episode psychosis and in subjects at ultra-high risk for developing psychosis; onset and relationship to psychotic symptoms. Aust N Z J Psychiatry. May;45(5):400-6. doi: 10.3109/00048674.2010.533363. Epub 2010 Nov 18.
Hodges, S.D., Myers, M., Michael W. (2007). Empathy. In R.F. Baumeister and K.D. Vohs (Eds.), Encyclopedia of social psychology. Thousand Oaks, CA: Sage.
Trifu S, Brăileanu D., Carp E.G., Chirilescu A., Mihai I (2015) Psychodynamic Particularities in Expressing Systematized Delirium in Paranoid Schizophrenia. Procedia - Social and Behavioral Sciences, Volume 203, 412-418, doi: https://doi.org/10.1016/j.sbspro.2015.08.315. DOI: https://doi.org/10.1016/j.sbspro.2015.08.315
Trifu S., Trifu, A.C. Trifu A.I. (2017) Nevroglya and superior cognitive functions. Antidepressants and neuroplasticity. Journal of the neurological sciences. Volume:381 Supplement: S. Pages: 837-837. doi: https://doi.org/10.1016/j.jns.2017.08.2355 DOI: https://doi.org/10.1016/j.jns.2017.08.2355
Öhman, A. (2008). Fear and Anxiety: Overlaps and Dissociations. In Lewis, M. & Haviland-Jones, J.M. & Feldman Barrett, L. (Eds.) Handbook of Emotions, Third Edition. New York, NY: The Guilford Press.
Hettema, J.M., Prescott, C.A., Myers, J M., Neale, M.C., Kendler, K.S. (2005). The structure of genetic and environmental risk factors for anxiety disorders in men and women. Archives of general psychiatry, 62(2). DOI: https://doi.org/10.1001/archpsyc.62.2.182
Balint, M., Ornstein, P.H., Balint, E. (1972). Focal Psychotherapy, an example of applied psychoanalysis. London: Tavistock.
Banissy, M.J., Kanai, R., Walsh, V., Rees, G. (2012). Inter-individual differences in empathy are reflected in human brain structure. NeuroImage, 62. DOI: https://doi.org/10.1016/j.neuroimage.2012.05.081
Dichter, E. (1972). Motivations and Human Behaviour. Paris: Punli-Union.
Alkozei, A., Cooper, P.J., Creswell, C. (2014). Emotional reasoning and anxiety sensitivity: Associations with social anxiety disorder in childhood. J Affect Disord. Jan; 152-154: 219–228.
doi: 10.1016/j.jad.2013.09.014 DOI: https://doi.org/10.1016/j.jad.2013.09.014
Goldin, P.R., Gross, J.J. (2010). Effects of Mindfulness-Based Stress Reduction (MBSR) on Emotion Regulation in Social Anxiety Disorder. Emotion, 10(1). DOI: https://doi.org/10.1037/a0018441
Samuels J, N. G. (2000). Personality disorders and normal personality dimension in obsessive-compulsive disorder. Br J Psychiatry. Nov;177:457-62. Br J Psychiatry. 2000 Nov; 177:457-62.
Mar, R.A., Oatley, K., Hirsh, J., de la Paz, J., Peterson, J.B. (2006). Bookworms versus nerds: Exposure to fiction versus non-fiction, divergent associations with social ability, and the simulation of fictional worlds. Journal of Research in Personality, 40. DOI: https://doi.org/10.1016/j.jrp.2005.08.002