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Tormenting Thoughts and Secret Rituals: The Hidden Epidemic of Obsessive-Compulsive Disorder
 
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Tormenting Thoughts and Secret Rituals: The Hidden Epidemic of Obsessive-Compulsive Disorder [Paperback]

Ian Osborn
4.6 out of 5 stars  See all reviews (19 customer reviews)
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From Booklist

As many as six million Americans may suffer from obsessive-compulsive disorder (OCD), making it one of the most common mental diseases. Osborn had a bout with it while in medical training, and he narrates the unfolding understanding of the disease and its treatment informatively and readably. In medieval times, many felt that the disorder had a religious basis. Later, puritanism imputed it to sinning, and psychoanalysis "proved" that it had deep psychological roots. Osborn shows that OCD is caused by a chemical imbalance in the brain and that behavior therapy and drugs, preferably together, can take care of it for most patients; Osborn personalizes this part of the discussion with case histories of individuals rather than stick-figure textbook abstractions. He also mentions new research, such as that which finds a possible link between OCD and childhood streptococcal infections; brain injury and stress may also play causative roles. He concludes with a long list of OCD support groups and other helpful information. William Beatty --This text refers to the Hardcover edition.

Review

"A truly wonderful, compassionate book."
--James W. Broatch, executive director, Obsessive-Compulsive Foundation

"A splendid book on OCD--lively, lucid, informative, and scholarly."
--Ronald Pies, M.D., clinical professor of psychiatry, Tufts University School of Medicine

"A marvelous achievement--an excellent and very practical overview of OCD and its treatment."
--Jeffrey Schwartz, M.D., associate professor, UCLA School of Medicine

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Customer Reviews

19 Reviews
5 star:
 (15)
4 star:
 (2)
3 star:
 (1)
2 star:    (0)
1 star:
 (1)
 
 
 
 
 
Average Customer Review
4.6 out of 5 stars (19 customer reviews)
 
 
 
 
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2 of 2 people found the following review helpful
1.0 out of 5 stars No real solutions, Feb 12 2004
By A Customer
This review is from: Tormenting Thoughts and Secret Rituals: The Hidden Epidemic of Obsessive-Compulsive Disorder (Paperback)
This book focuses on symptoms and not solutions. If you want real solutions, buy Jonathan Grayson's book called "Freedom from Obsessive Compulsive Disorder." That is the best book on OCD I have ever read.
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5.0 out of 5 stars I love this book, Nov 15 2003
By A Customer
This review is from: Tormenting Thoughts and Secret Rituals: The Hidden Epidemic of Obsessive-Compulsive Disorder (Paperback)
This book is fabulously informative and written in such a kind manner, you'd want the author for your own therapist. It is especially good for those who have just realized they have OCD.
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5.0 out of 5 stars Great and Unusual Book, Sep 6 2003
By A Customer
This review is from: Tormenting Thoughts and Secret Rituals: The Hidden Epidemic of Obsessive-Compulsive Disorder (Paperback)
Dr. Osborn does a great work with this book. In the early chapters he provides case histories that let us see first hand what OCD is. Then he provides a diagnostic test for self-evaluation. Then he cuts loose with the definitions. OCD thoughts fall into four categories, fear of contamination (filth), fear of hurting others or oneself (harm), fantasies of impulse (lust) and fear of hurting God or one's relationship. (blasphemy). He does not cover hoarding or collecting behaviors in detail, but mentions the possible relationships.

Dr. Osborn's principle insight is that OCD is neurobiological in origin, and that it is successfully treated with serotonin reuptake inhibitors like Zoloft and Prozac. He argues that it should be renamed "basal ganglia" disorder, since this is the brain center implicated (along with the thinking trail to the frontal lobe). I hope this proposal is adopted.

The author uses four criteria to establish an OCD thought, and its matching, anxiety reducing behavior, which are the obsession and the compulsion respectively. Such thoughts have four properties which can be remembered by the mnemonic 2IRU. OCD thoughts are inappropriate, intrusive, recurrent and unwanted. This is what distinguishes them from addictive thoughts.

This book unlocked for me an understanding of a multigenerational difficulty and for Dr. Osborn's many insights I am grateful.

- Van
www dot wdv dot com

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