O'Connor Kieron P, Grenier Sébastien
Centre de recherche Fernand-Seguin.
Sante Ment Que. 2004 Spring;29(1):33-51. doi: 10.7202/008818ar.
This article reviews four separate conceptions of obsessional compulsive disorder (OCD). The first is a movement disorder, the second is part of a wider OCD spectrum including impulsive and compulsive disorders, the third is currently classified in the DSM-IV-TR, as an anxiety disorder, and the fourth and final view that OCD is a belief disorder and forms a continuum with other belief disorders such as delusional ideation. Although there is support for the four viewpoints, and OCD is distinct from movement, anxiety and impulsive disorders, it seems reasonable to conceptualize OCD as a belief disorder which creates anxiety as a consequence of the obsessional belief.
本文回顾了强迫症(OCD)的四种不同概念。第一种将其视为一种运动障碍,第二种认为它是更广泛的强迫症谱系的一部分,包括冲动和强迫障碍,第三种目前在《精神疾病诊断与统计手册》第四版修订版(DSM-IV-TR)中被归类为焦虑障碍,第四种也是最后一种观点认为强迫症是一种信念障碍,并与其他信念障碍(如妄想观念)形成一个连续体。尽管这四种观点都有一定支持依据,且强迫症与运动、焦虑和冲动障碍不同,但将强迫症概念化为一种因强迫信念而产生焦虑的信念障碍似乎是合理的。