Tormenting Thoughts and Secret Rituals

344 Pages·036.589 MB·English

by  Ian Osborn

iormenting
&
Thoughts
Secret Rituals
The Hidden Epidemic of
Cbsessive-^ompulsive Disorde
Osbbrn, M.D.
Ian
FPT $25.00 U.S.A.
S )5.00 Can.
V^bsessive-compulsive disorder has been
called the "hidden epidemic": only a very
few of the many people who have it reveal
their condition. Ian Osborn is one ofthose
who has suffered from OCD, and his per-
sonal experience imbues this book w^ith an
exceptional clarity and understanding.
Dr. Osborn discusses the various
—
OCD
forms takes and using the most
—
common focuses of obsession presents
detailed and dramatic cases whose objects
are filth, harm, lust, and blasphemy. He
explains how the disorder is currently diag-
nosed, and how it differs from addiction,
worrying, and preoccupation. He summa-
rizes the recent findings in the areas ofbrain
biology, neuroimaging, and genetics that
OCD
show to be a distinct chemical disor-
der of the brain. He contrasts OCD with
"OCD
other spectrum disorders" such as
anorexia nervosa and hairpulling, and he
provides a historical overview that traces
the development over the centuries ofboth
behavior therapy and medicaiion.j.
RECEIVED JUL 1998
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3 1111 01750 1071
DATE DUE
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^131999
MAY C 191
MAY.fl 6 1999
Ai^Jll
OCT 2 j) 2003
BrodartCo. Cat.#55137001 PrintedinUSA
Digitized by the Internet Archive
in 2011
http://www.archive.org/details/tormentingthoughOOosbo
TORlllE]\TIl\G
THOUGHTS
A D
1\
SECRET
RITUALS
THE HIDDEN EPIDEMIC OF
OBSESSIVE-COMPULSIVE
DISORDER
IAN OSBORN, M.D
TORMEI\TING
THOUGHTS
AND
SECRET
RITUALS
PANTHEON BOOKS NEW YORK
/
Copyright © 1998 byIanOsborn,M.D.
AllrightsreservedunderInternationaland Pan-AmericanCopyrightConven-
tions. PublishedintheUnitedStatesbyPantheonBooks,adivisionofRandom
House,Inc.,NewYork,andsimultaneouslyinCanadabyRandomHouseof
CanadaLimited,Toronto.
Gratefulacknowledgment ismadetothefollowingforpermissionto
reprintpreviouslypublishedmaterial:
AmericanPsychiatricAssociation: ExcerptsfromtheDiagnosticandStatistical
ManualofMentalDisorders, FourthEdition. Copyright © 1994bytheAmerican
PsychiatricAssociation. ReprintedbypermissionoftheAmericanPsychiatric
Association. • ArchivesofGeneralPsychiatry: "TheYale-BrownObsessive-
CompulsiveScale" byGoodman,Rasmussen,etal.ArchivesofGeneralPsychiatry,
vol. 46, 1989,pp. 1006-1011. Copyright © 1989 bytheAmericanMedical
Association. ReprintedbypermissionofArchivesofGeneralPsychiatry. • Else-
vierScienceLtd.: "ThePaduaInventory" byEzioSanario.BehaviorResearchand
Therapy, vol. 26, no. 2, 1988,pp. 169-77. ReprintedbypermissionofElsevier
ScienceLtd.,Oxford,England.
LibraryofCongressCataloging-in-PublicationData
Osborn,Ian.
Tormentingthoughtsandsecretrituals :
thehiddenepidemicofobsessive-compulsivedisorder/IanOsborn.
p. cm.
Includesbibliographicalreferences(p. )and index.
ISBN0-679-44222-7
—
1. Obsessive-compulsivedisorder Popularworks. I. Title.
RC533.083 1998
6i6.85'227—DC2I 97-31226
GIF
Random HouseWebAddress: http://www.randomhouse.com
BookdesignbyJoAnneMetsch
Printed intheUnitedStatesofAmerica
246F8irs9tEd7ition 531
To my OCDpatients atPenn Stateand
at the Clearfield-Jefferson Community MentalHealth Center