perfectionism and - Obsessive-Compulsive Foundation

6/14/13
CASE EXAMPLE
• 67 year old recently divorced female with co-­‐morbid
depressive disorder
• Contaminant is deceased brother who had negave
personality traits
• Avoids numbers associated with his birthday, death
day
• History of emoonal abuse by mother and ex-­husband
• Religious Roman Catholic
• Disabled son
• Supersous
HIERARCHY
10 vising gravesite
9 acng in manner similar to brother
8 speaking about brother in apartment
7 wearing “contaminated” clothes again – associated
with unlucky days
6 looking at photographs
5 speaking about brother in neutral locaon
4 engaging in acvies at specific mes (3 o’clock, 6
o’clock etc.)
3 engaging in acvies 3 or 6 mes
CASE EXAMPLE
• 18 year old female co-­‐morbid Borderline Personality
Disorder
• OCD onset age 17
• Symptoms manifested exclusively at home
• Father was source of contaminaon; disgust reacon
anything she associated with father (bathroom,
computer etc.)
• Developed ager hospitalizaon prior to which her
father had to physically restrain her
HIERARCHY
• 10 – coming into contact with father or standing near him
• 9 – using objects frequently used by him
• 9 – using the bathroom that her father uses
• 8 – using items or appliances in the house that her father has
recently come into contact with
• 7 – using items in the house that are frequently used by other
family members who may have come into contact with her
father
• 6 – using items in the home that are infrequently used by
other family members
• 4 – being in the person’s room, which is generally considered
uncontaminated when the individual feels uncontaminated.
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