What is Pure OCD?
Summary
TLDRاضطراب التفكير المفرط 'النظيف' هو نوع من القلق المفرط يُعرّض الأفراد لأفكار مزعجة تجعلهم يشعرون بالقلق و الخوف من أنهم قد يفعلوا أو يرغبوا في إجراء أفعالاً مرفوضة في المجتمع، مثل القتل أو الاعتداء الجنسي. يعاني المرضى من نقص الذاتية و الشعور بالخزي، ويتم تشخيص الحالة عادةً بعد إنجازات إيجابية تجعلهم يشعرون بالعدم المناسبة للسعادة. المعالجة تبدأ بإصلاح الذاتية السلبية و医治重建 الثقة بالنفس، مما يتطلب مساعدة الأخوات العاطفة و الدعم المستمر.
Takeaways
- 🧠 'Pure' OCD هو نوع من القلق المفرط يحدث فقط في العقل، بدون أفعال خارجية ملحوظة.
- 😨 المرضى يعانون من أفكار غريبة تدفعهم إلى الاعتقاد بأنهم يريدون أو قد فعلوا أفعال ممنوعة.
- 👨⚕️ الأطباء يستخدمون الأدوية لرفع المزاج العام للمرضى وتقليل التفكير المفرط.
- 🤔 المعالجون السلوكيين يحاولون مناقشة الأفكار المدبرة حتى يتمكن المرضى من الاعتراف بعدم وعيهم بالقيام بأى فعل قبيح.
- 💡 المعالجون النفسيون يرى أن الأساس في القلق المفرط هو مشكلة الذاتية والشرم، وليس الأفكار نفسها.
- 👶 المرضى يميلون إلى الشعور بالنذال بسبب علاقات طفولية ممCogive.
- 🔄 القلق المفرط يحدث أحيانًا بعد إنجازات إيجابية تجعل المريض يشعر بالعار.
- 🏛️ في المجتمعات التي تعتبر المخالفة الدينية ممCogive، يمكن أن يعاني المرضى من القلق المفرط بسبب الشعور بالذنب الديني.
- 🔗 القلق المفرط ي建議 على الانتماء إلى الذاتية السلبية، وليس بالفعل بالفعل المخالفة أو الجريمة.
- 🌟 العلاج يبدأ بترميم الشعور بالنذال والشرم، وتعلم أن الذات ليست بلا قيمة كما يعتقد المريض.
Q & A
ما هي الاضطرابات العقلية التي تذكر في النص؟
-النص يتحدث عن 'أو سي دي الخالص' أو القلق الم强迫Thoughts، وهي نوع من القلق المفرط حيث يعاني المصابون من أفكار غير مرغوب فيها تجعلهم يشعرون بالقلق والتوتر.
ما هو الفرق بين القلق المفرط العادي و'أو سي دي الخالص'؟
-في القلق المفرط العادي، يضطر المصابون لتكرار أفعال معينة مثل غسل اليدين أو التحقق من الغاز، بينما في 'أو سي دي الخالص' لا توجد أفعال بدنية، بل يحدث القلق فقط في العقل.
ما هي الأفكار الغير مرغوب فيها التي يعاني منها المرضى من 'أو سي دي الخالص'؟
-المرضى يعانيون من أفكار مزعجة تجعلهم يفكرون في ال行径诸如杀害亲人、性侵儿童 أو تجاوز غرين، وهذه الأفكار تجعلهم يشعرون بالقلق والتوتر.
لماذا يعاني المرضى من 'أو سي دي الخالص' من القلق والتوتر؟
-المرضى يشعرون بالقلق والتوتر لأنهم يعتقدون أنهم قد يصبحون أو قد أظهروا علامات أنهم مجرمون أو قاتلون أو مضانون، وهم يبحثون في أذهانهم لإيجاد أدلة تؤكد هذا القلق.
ما هي الطريقة التي يستخدمها الأطباء لعلاج 'أو سي دي الخالص'؟
-الأطباء يفضلون إعطاء المرضى أدوية لرفع مOODهم وتقليلendency to ruminate، بينما يحاول علماء النفس من خلال terapies السلوكية النقاش مع الأفكار الغير مرغوب فيها حتى يتمكن المرضى من الاعتراف بشكل منطقي بأنهم ليس لديهم نية لفعل أي شيء قبيح.
ما هي الطريقة التي يستخدمها علماء النفس لعلاج 'أو سي دي الخالص'؟
-علماء النفس يعتقدون أن ال根本原因是 نقص الذاتية والهرج، ويركزون على إصلاح هذا النقص وإعادة بناء الذاتية الإيجابية من خلال التفاعلات المتكررة مع مشاهد ينظر بعين الرحمة.
لماذا يظهر 'أو سي دي الخالص' في بعض الأحيان بعد إنجازات إيجابية؟
-قد يظهر 'أو سي دي الخالص' بعد إنجازات إيجابية لأن الشعور بالسعادة يبدو غير مبرر وبالتالي يعتمد المريض على أفكار غير قانونية لضمان أن تبقى自尊心很低.
كيف يرتبط 'أو سي دي الخالص' بالإعتراف الديني؟
-في المجتمعات التي تعتبر المخالفة الدينية ممنوعة، يعاني المرضى من 'أو سي دي الخالص' من الشعور بأنهم قد أساءوا الله ويخافون من أن يُعرفون كذنوب.
ما هي النتيجة النهائية للعلاج في 'أو سي دي الخالص'؟
-الهدف النهائي من العلاج هو إصلاح الشعور بالهرج والكآبة، وتعليم المرضى أنهم ليسوا الكائنات القيمة التي يعتبرون أنفسهم، وتعلم أن تكونوا أصدقاء لأنفسهم.
ما الذي يقوله الكتاب 'ما هو النفسي' عن المعالجة النفسية؟
-الكتاب يتحدث عن تجربة المعالجة النفسية وأهميةها، ويوفر فهمًا لكيفية العمل بها ولماذا هي مهمة.
Outlines
😨 Pure OCD: The Struggle Within
This paragraph delves into the distressing nature of 'Pure' OCD, a form of Obsessive Compulsive Disorder where the afflicted individuals are tormented by intrusive thoughts that they fear they might commit heinous acts, despite having no intention or desire to do so. These thoughts are not actual desires but manifestations of deep-seated self-loathing and shame, often rooted in traumatic childhood experiences. The condition is characterized by an internal conflict where the person's self-perception does not align with their societal role or achievements, leading to a constant state of anxiety and self-doubt. Treatment approaches vary, with psychotherapists focusing on addressing the underlying self-esteem issues rather than the intrusive thoughts directly.
📚 The Path to Healing: Self-Compassion and Therapy
Paragraph 2 emphasizes the importance of psychotherapy in treating Pure OCD. It suggests that the key to overcoming the disorder lies in learning self-compassion and understanding that the intrusive thoughts are symptoms of self-distrust rather than actual desires. The paragraph also mentions a book titled 'What is Psychotherapy' that provides insights into the therapeutic process and its significance. The focus is on the individual learning to be a friend to oneself and recognizing that the journey through therapy is crucial for healing and self-acceptance.
Mindmap
Keywords
💡Pure OCD
💡Intrusive Thoughts
💡Self-Esteem
💡Shame
💡Psychiatrists
💡CBT
💡Psychotherapists
💡Self-Loathing
💡Traumatic Relationships
💡Loving Act of Witnessing
Highlights
Pure OCD, also known as Intrusive Thoughts, is a mental affliction that is internal and distressing.
Individuals with Pure OCD are haunted by thoughts of committing heinous acts they despise.
Sufferers may develop irrational fears and avoid certain situations or objects due to their thoughts.
The condition can severely diminish the enjoyment of life and lead to a constant feeling of self-loathing.
Psychiatrists often prescribe antidepressants to alleviate the mood and reduce rumination.
CBT psychologists engage in logical argumentation with intrusive thoughts to help patients.
Psychotherapists approach Pure OCD differently, focusing on self-esteem and shame rather than the thoughts themselves.
The root of Pure OCD is often traced back to traumatic childhood experiences and low self-worth.
Sufferers may feel they do not deserve to exist, leading to a mismatch between their self-perception and societal expectations.
Achievements that should bring joy can instead trigger intrusive thoughts, as happiness feels unwarranted.
In societies with strong religious values, Pure OCD sufferers may feel they have offended a higher power.
The condition is fundamentally about self-loathing and the need to feel awful, rather than specific condemned acts.
Treatment for Pure OCD involves repairing self-loathing and shame through therapy and building self-compassion.
Therapy aims to help sufferers see themselves as worthy and loved, contrary to their self-perception.
Learning to be a friend to oneself is a crucial part of overcoming Pure OCD.
The book 'What is Psychotherapy' provides insights into the experience and importance of therapy for mental health.
Transcripts
Few mental afflictions are as humbling or as terrifying as what is known as ‘Pure’
OCD or, more colloquially, Intrusive Thoughts. In standard Obsessive Compulsive Disorder,
a person is haunted by a worry that compels them to repeat an often counterproductive
or fruitless action with manic intensity: handwashing, turning off gas pipes, checking
their pulse and so on. But in ‘pure’ OCD, there is no outward, physical action; the
problem unfolds – hence the name – purely in the mind, yet it is, if anything, an even
more distressing condition. Image result for Frank auerbach The Pure OCD sufferer is tortured
by thoughts that they want to do, or have done, some of the most censored and abhorred
acts in our societies, acts that they themselves despise and fear at an intellectual level.
They grow convinced of their wish, for example, to murder a loved one, harm a child sexually
or assault a stranger. They cannot shut out the idea that they may become, or have already
shown signs that they are, a psychopath, a rapist or a paedophile. They scan their minds
ceaselessly, looking for evidence to confirm their dreadful apprehension. So burdened are
they by these thoughts, they may not be able to go anywhere near children or may take fright
at the sight of a knife in a drawer. Left alone with a colleague, they may panic that
they could lose control and lunge inappropriately at them. At the station, they are flooded
with anxiety at the feeling that they may push their partner or their child under a
train. Having to think of oneself in these terms quickly drains life of any of its pleasure.
The Pure OCD sufferer wakes up every morning certain that they are one of the worst people
ever to have walked on the planet. There is not, as yet, a foolproof way of treating the
condition – but discussions of how to approach it reveal large differences in assessments
of how the mind operates. Psychiatrists tend to prescribe antidepressants, in order to
lift the general mood of sufferers and thereby lessen the tendency to ruminate to the point
of exhaustion. CBT psychologists will try to argue closely with the intrusive thoughts,
so that eventually sufferers can logically acknowledge that they truly have no intention
of harming anyone or doing anything obscene. But it is psychotherapists
who have what is perhaps the most imaginative and unexpected solution. They do not target
the thoughts themselves or argue with them directly. They don’t try to reassure people
logically that they are not about to murder a loved one or harm a child – because they
don’t believe that this is what is actually at stake and judge that offering reassurance
on these points only legitimates a pattern of thinking that has no basis in reality.
They locate the origin of the problem somewhere quite different: the sufferer of pure OCD
has, first and foremost, a problem with self-esteem and shame. The unfortunate person feels, at
some level, utterly disgusting and beyond the pale – and will in the background have
been feeling like this for a long time. Somewhere in their past, normally as a result of very
traumatic and degrading childhood relationships, they will have derived an impression that
they did not deserve to exist. Their current thoughts are not plans for the future, they
are attempts by the mind to find a match between their basic sense of self and what would be
needed by their society to concur with it. They are a move to bring about a form of dreadful
inner equilibrium, ensuring that the judgement of the world falls in line with the judgement
of the self. Cases of Pure OCD are sometimes diagnosed just after sufferers have achieved
something rather positive in the eyes of others: they have been promoted or begun a fulfilling
relationship or mastered a project. It should be a cause for celebration but happiness simply
feels unwarranted. By latching onto thoughts of complete illegality, one is assured that
one’s self-esteem will remain at rock bottom. Interestingly, in societies that find religious
transgression particularly abhorrent, Pure OCD sufferers will be haunted by feelings
that they have offended God and are about to be outed as sinners. Behind Pure OCD is
a person’s needs to find a reason to feel awful, it isn’t about this or that condemned
act – and as the definition of awful changes, so too will the manifest content of the intrusive
thoughts. The disease is anchored in self-loathing, not in blasphemy, incipient paedophilia or
murderous intent.This analysis opens the way to treatment. What the sufferer of pure OCD
needs, above all else, is to begin to repair their self-loathing and shame. They need to
learn, through repeated encounters with an outsider who casts a generous and sympathetic
eye on them, that they are not the worthless being they take themselves for. Their problem
began with a deficit of love – and needs to be healed by a loving act of witnessing.
Pure OCD thoughts are not wishes, they are symptoms of radical self-distrust – and
these will start to lift once the afflicted learn that most vital of arts: being a friend
to oneself. Our book what is psychotherapy tells us exactly what going through therapy
is like and why it is so important.
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