Department of Psychology, Spalding University, Louisville, KY, 40203, USA.
Louisville OCD Clinic, Louisville, KY, USA.
Arch Sex Behav. 2018 Feb;47(2):389-402. doi: 10.1007/s10508-017-1031-4. Epub 2017 Aug 18.
Fears of sexually harming children are fairly common among clients suffering from obsessive-compulsive disorder (OCD), yet these symptoms are largely unrecognized and frequently misdiagnosed by mental health professionals. Specifically, clients with pedophilia-themed OCD (P-OCD) experience excessive worries and distressing intrusive thoughts about being sexually attracted to, and sexually violating, children. Expressing these concerns may provoke misjudgments from uninformed mental health professionals that a client is presenting instead with pedophilic disorder. This misdiagnosis and subsequent improper interventions can then contribute to increased fear, anxiety, and in many cases, depression, in affected clients. Therefore, it is imperative that mental health professionals first possess a good understanding of this common manifestation of OCD. As such, in this article, we described obsessions and compulsions typical of P-OCD, in order to inform the reader of the distinctive differences between P-OCD and pedophilic disorder. Information about how to assess for P-OCD symptoms is then provided, followed by suggestions on how to tailor aspects of exposure and response prevention to treat this specific form of OCD.
对儿童进行性伤害的恐惧在强迫症（OCD）患者中相当普遍，但这些症状在很大程度上未被精神健康专业人员识别和经常误诊。具体来说，具有恋童癖主题强迫症（P-OCD）的患者会经历过度的担忧和令人痛苦的强迫性思维，即对儿童产生性吸引和性侵犯。表达这些担忧可能会引起缺乏信息的精神健康专业人员的错误判断，认为患者患有恋童癖障碍。这种误诊和随后的不当干预可能会导致受影响的患者增加恐惧、焦虑，在许多情况下还会导致抑郁。因此，精神健康专业人员首先必须很好地了解 OCD 的这种常见表现形式。因此，在本文中，我们描述了 P-OCD 的典型强迫观念和强迫行为，以使读者了解 P-OCD 和恋童癖障碍之间的明显区别。然后提供了如何评估 P-OCD 症状的信息，接着提出了如何调整暴露和反应预防的各个方面来治疗这种特定形式的 OCD 的建议。
