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Treatment of Obsessive-Compulsive Neurosis with History of Childhood Autism

Published online by Cambridge University Press:  29 January 2018

Peter Lindley ,
Isaac Marks ,
Robin Philpott  and
John Snowden
Peter Lindley
Affiliation:
Bethlem Royal and Maudsley Hospital, and Institute of Psychiatry, Denmark Hill, London SE5
Isaac Marks
Affiliation:
Bethlem Royal and Maudsley Hospital, and Institute of Psychiatry, Denmark Hill, London SE5
Robin Philpott
Affiliation:
Bethlem Royal and Maudsley Hospital, and Institute of Psychiatry, Denmark Hill, London SE5
John Snowden
Affiliation:
Bethlem Royal and Maudsley Hospital, and Institute of Psychiatry, Denmark Hill, London SE5
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Summary

A young man was followed-up over three years who had severe obsessive-compulsive rituals and ruminations, interpersonal deficits, complicating depression and a history of childhood autism. Intensive behavioural treatment was given in an operant framework, with exposure in vivo, modelling, response prevention and social skills training. Compulsive rituals improved markedly and lastingly, but ruminations and social defects persisted. When intercurrent depression occurred dothiepin facilitated behavioural treatment. Adjustment remained fragile. Minimum maintenance treatment in the community could not be adequately arranged, so that gains made in hospital were partly lost at follow-up, despite continuing improvement in rituals.

Type
Research Article
Information
The British Journal of Psychiatry , Volume 130 , Issue 6 , June 1977 , pp. 592 - 597
Copyright
Copyright © Royal College of Psychiatrists, 1977 

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References

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