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plly.d ! stln8.mpl6k on this topic. TlEy funtEr snrcd lhar in 1930s ed ...

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Hool€y (1985) and Kuipeu (1992) rp<strong>on</strong><strong>ed</strong> s.veEl sudies <strong>on</strong> $ess$ciari<strong>on</strong><br />

b€trcen bieh levcls ofexpEss.d enotioD <strong>in</strong> rh. fuili6 ofpatienb with *hj&phmia<br />

dd $e palie.k wi$ subeqE rldps. They have .ho enphsiz<strong>ed</strong> lhe ful $at<br />

pali€ils' oM pee!'ti<strong>on</strong> of lbe cdrici$ ollhcn panneB <strong>ed</strong> poor meiag€ w aea<strong>in</strong> a<br />

sig.ificant p<strong>ed</strong>icror of relape Tney neasmd the D<strong>ed</strong>€pri<strong>on</strong> of rh. paden[ <strong>on</strong> a t n<br />

poior atulosue sle wirh the opti<strong>on</strong>s f<strong>on</strong> nor al atl crilical ro v.ry ciitiqt <strong>in</strong>de.d. In fie<br />

esulr th. Esdh6 cooclud<strong>ed</strong> tnar th€ lev.l of<strong>in</strong>itial criticisn @ nol Nocial.d wirh<br />

et of the ftdni<strong>on</strong>ally cla<strong>in</strong>.d out@nes like s6pe of emhsi<strong>on</strong> or dhe to rctape.<br />

Mo@Er,lhey aho f@us€d <strong>on</strong> tne |acl $6t expEs*d criicisn ws nor etat<strong>ed</strong> b<br />

pereiv<strong>ed</strong> cnlicish. Aea<strong>in</strong> lhc mdiht adjsrnenl was more relal<strong>ed</strong> perceiv<strong>ed</strong> cirhiM<br />

nthd the rh. expB$d oE. Th. <strong>in</strong>fomai<strong>on</strong> Egard<strong>in</strong>e Freil<strong>ed</strong> EE B ddil<strong>ed</strong> froo<br />

lhe patients' <strong>in</strong>lepiews bs<strong>ed</strong> <strong>on</strong> Cl<strong>in</strong>ical i.terview for DepEsi<strong>on</strong> (CID) by parkel<br />

{ 1985), I 7 ilm H.milt<strong>on</strong> R r<strong>in</strong>s Scate for Dep6sio. (HRSD) by HMilt<strong>on</strong> ( 1967), fld<br />

qteSoiaio. or Bmissi<strong>on</strong> and retapse by tCD major depresi<strong>on</strong> crnsid.<br />

2.5.4 P4.ptaat i.Jicit <strong>in</strong> oCD<br />

cail, Judy, Didne, Tlloms. md Chrles (200?) srudi<strong>ed</strong> ofp€rceiv<strong>ed</strong> c ticisd as<br />

a pr.dictor of *v€E diety symfloms <strong>in</strong> !6id1s witn obsiv€ c<strong>on</strong>pulsirc dierd6.<br />

They dhcus$d the l<strong>in</strong>k€dperccil<strong>ed</strong>critickm f<strong>on</strong> thesignificaol fanit! nenbeEro<br />

hidq hl6 ofElapF, tud se realmenl our<strong>on</strong>e, They frlnlB! thEw tighr <strong>on</strong> rhe<br />

<strong>in</strong>p<strong>on</strong>mt issues of the equally ihp<strong>on</strong>dt dcbate by lh. psycholoeilts wh€ther rhe<br />

p€r€iv.d cdri.ism rcsulb <strong>in</strong> pooi tr@lndt oltome or <strong>in</strong>,fad ir is beaus of rh. dcSr<br />

lo which parienl is disrurb.d and distEskd. However.lh.y 6e$<strong>ed</strong> synplohs severiry<br />

of th. p.tienb $ nh OCD <strong>ed</strong> pa.ic dierdcr bcforc md affer trsIncnr. Their llnd<strong>in</strong>ss<br />

snpp<strong>on</strong>.d the hyporhesis rhar perceiv<strong>ed</strong> crilicisn. ra$cr lhe fic aymplom sev€liry<br />

78

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