Is There an Obsessive Psychosis? Aetiological and Prognostic Factors of an Atypical Form of Obsessive-Compulsive Neurosis *

  title={Is There an Obsessive Psychosis? Aetiological and Prognostic Factors of an Atypical Form of Obsessive-Compulsive Neurosis *},
  author={Leslie Solyom and V F DiNicola and M. Phil. and Debbie Sookman and Daniel J. Luchins},
  journal={The Canadian Journal of Psychiatry},
  pages={372 - 380}
The study explores whether an atypical form of obsessional illness can be delineated and separated from the conventional form of obsessive-compulsive neurosis (OCN). From a group of 45 obsessive patients, 8 were selected on the basis of 3 criteria: (a) presence of a severely debilitating main obsessive symptom; (b) bordering on the delusional; (c) no schizophrenic symptoms. Assessment and outcome measures included the Psychiatric Questionnaire, the Leyton Obsessional Inventory, Fear Survey… 

Tables from this paper

Obsessive–compulsive disorder with poor insight: A three-year prospective study

The Relationship Between Obsessive-Compulsive Disorder and Psychosis

Patients with comorbid Obsessive-Compulsive Disorder and a psychotic disorder are reported on and the relationship between OCD and psychosis is discussed, finding that they may coexist by chance and may be unrelated.

Obsessions and compulsions in patients with borderline personality disorder: clinical characteristics and insight

Objectives Thought abnormalities in borderline personality disorder (BPD) include psychotic transient or psychotic-like symptoms and obsessive-compulsive symptoms. Psychodynamic theories and clinical

Obsessive-Compulsive Disorder in Schizophrenia

Findings of recent studies pertaining to the rate of occurrence of OCD or obsessive-compulsive symptoms (OCS) in schizophrenia and the clinical characterisation of the schizo-obsessive subtype are critically evaluated.

Are Some Neuroleptic-Refractory Symptoms of Schizophrenia Really Obsessions?

This study presents case studies of eight patients in whom "obsession-like" symptoms played a part in their being classified as treatment refractory, and investigates potentially treatable syndromes that co-occur with schizophrenia.

Progression of Neurotic to Psychiatric Illness and its Management Strategies: A Case History

A 42-year-old male patient with a “Specific phobia with obsessive-compulsive disorder with Moderate depressive episode with paranoid schizophrenia” presents a case with the progression of illness and treatment plan.

Insight and Resistance in Patients with Obsessive-Compulsive Disorder

The utility of the assessment of insight and resistance in obsessive-compulsive patients and the predictive value of poor insight with respect to response to treatment with serotonin reuptake inhibitors are suggested.



Obsessional illness in mental hospital patients.

  • I. M. Ingram
  • Medicine, Psychology
    The Journal of mental science
  • 1961
The natural history of obsessional illness has been studied in 89 mental hospital in-patients and it was concluded that chronicity and presence of motor symptoms were not contra-indications for leucotomy and that many of the current recommendations forLeucotomy are indicators of spontaneous remission.

Failure in treating obsessive-compulsives.

  • E. Foa
  • Psychology
    Behaviour research and therapy
  • 1979

Problems of Obsessional Illness

I have tried in this paper to raise the difficult issues that seem to need clarification before an answer can well be sought, much less accepted.

Complications of Obsessional Neurosis

  • C. Rosenberg
  • Medicine, Psychology
    British Journal of Psychiatry
  • 1968
Obsessional neurosis is generally considered to have a poor prognosis and factors adversely affecting prognosis include early onset of symptoms, premorbid obsessional personality and the emergence of complications.

The Leyton obsessional inventory.

  • J. Cooper
  • Psychology
    Psychological medicine
  • 1970
The construction and development of an inventory of 69 questions dealing with the subjective assessment of obsessional traits and symptoms is described, and the resulting scores are shown to differentiate well between a group of selected obsessional patients and normals.

Zwangszustande und Schizophrenic

  • Arch Psychiatr Nervenkr
  • 1925

General Psychopathology. Chicago (University of Chicago Press) 1963.

The Psychoanalytic Theory of Neurosis. New York (Norton) 1945.