Pedophilia-Themed Obsessive–Compulsive Disorder: Assessment, Differential Diagnosis, and Treatment with Exposure and Response Prevention

  title={Pedophilia-Themed Obsessive–Compulsive Disorder: Assessment, Differential Diagnosis, and Treatment with Exposure and Response Prevention},
  author={Simone Leavell Bruce and Terence H. W. Ching and Monnica T. Williams},
  journal={Archives of Sexual Behavior},
Fears of sexually harming children are fairly common among clients suffering from obsessive–compulsive disorder (OCD), yet these symptoms are largely unrecognized and frequently misdiagnosed by mental health professionals. Specifically, clients with pedophilia-themed OCD (P-OCD) experience excessive worries and distressing intrusive thoughts about being sexually attracted to, and sexually violating, children. Expressing these concerns may provoke misjudgments from uninformed mental health… 
Clinical Challenges in Pedophilia-Themed Obsessive-Compulsive Disorder.
A case report highlighting the role stigma plays in delaying treatment, the clinical challenges in the diagnosis, and in the treatment of pedophilia-themed obsessive-compulsive disorder, in order to address the lack of literature on the subject is presented.
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Elevated OCD misdiagnosis rates and the impact of incorrect diagnoses on treatment recommendations highlight the need for greater training regarding OCD symptomatology and empirically supported treatments.
Prevalence and clinical characteristics of mental rituals in a longitudinal clinical sample of obsessive–compulsive disorder
It is suggested that mental rituals are uniquely impairing and highlight the need for further empirical exploration and consideration in treatment.
Stigma and disclosure of intrusive thoughts about sexual themes
Myth of the pure obsessional type in obsessive–compulsive disorder
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Treating obsessive-compulsive disorder with exposure and response prevention.
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Although current cognitive-behavioral models have highlighted a central role of dysfunctional “obsessive beliefs” about threat, responsibility, uncertainty, perfectionism, importance and control of
Symptom presentation and outcome of cognitive-behavioral therapy for obsessive-compulsive disorder.
Mental compulsions were most prevalent among patients with intrusive, upsetting religious, violent, or sexual thoughts, and response to cognitive-behavioral therapy across symptom categories was compared, finding poorer outcomesamong patients with hoarding symptoms compared with those with other symptom themes.
Symptom Dimensions in Obsessive-Compulsive Disorder: Phenomenology and Treatment Outcomes with Exposure and Ritual Prevention
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