TY - JOUR
T1 - Coercive and disruptive behaviors in pediatric obsessive compulsive disorder
T2 - A qualitative analysis
AU - Lebowitz, Eli R.
AU - Vitulano, Lawrence A.
AU - Omer, Haim
N1 - Funding Information:
Eli R. Lebowitz, Ph.D., is with the Yale Child Study Center in New Haven, Connecticut. Lawrence A. Vitulano, Ph.D., is Clinical Professor of Psychology at the Yale Child Study Center. Haim Omer, Ph.D., is Professor of Psychology at Tel Aviv University in Israel. The authors gratefully acknowledge the generous contributions of James Leckman, M.D., Robert King, M.D., and David Reiss, M.D., who shared both their time and their wisdom. The authors acknowledge gratefully the support of the Messer Anxiety Program at the Yale Child Study Center. Our thanks to Mirjam Katz for her assistance in the qualitative analyses reported herein. Address correspondence to Eli R. Lebowitz, Ph.D., 230 S. Frontage Road New Haven, CT 06520. Email: [email protected]
PY - 2011/12
Y1 - 2011/12
N2 - OCD is a common disorder in children and adolescents. Disruptive or coercive behaviors among children with OCD have not been a focus of much research until recently. Family accommodation of OCD is strongly related to symptom severity, level of impairment, and treatment outcomes. The possibility of family accommodation being forcefully imposed on family members against their will has not been investigated systematically, although clinical experience points to the existence of such situations. The present study represents an early, qualitative exploration of such situations. The parents of 10 children and adolescents with OCD, who reported the existence of violent or disruptive behavior on the part of the child, were interviewed and their narratives analyzed using grounded theory methodology. Findings from the interviews point to the existence of a pattern of coercive behaviors in which rules and prohibitions, driven by the child's OCD, are aggressively imposed on parents and siblings. The emergent themes are analyzed in relation to obsessive compulsive symptom dimensions and in relation to the means and goals they represent for the obsessive compulsive children.
AB - OCD is a common disorder in children and adolescents. Disruptive or coercive behaviors among children with OCD have not been a focus of much research until recently. Family accommodation of OCD is strongly related to symptom severity, level of impairment, and treatment outcomes. The possibility of family accommodation being forcefully imposed on family members against their will has not been investigated systematically, although clinical experience points to the existence of such situations. The present study represents an early, qualitative exploration of such situations. The parents of 10 children and adolescents with OCD, who reported the existence of violent or disruptive behavior on the part of the child, were interviewed and their narratives analyzed using grounded theory methodology. Findings from the interviews point to the existence of a pattern of coercive behaviors in which rules and prohibitions, driven by the child's OCD, are aggressively imposed on parents and siblings. The emergent themes are analyzed in relation to obsessive compulsive symptom dimensions and in relation to the means and goals they represent for the obsessive compulsive children.
UR - http://www.scopus.com/inward/record.url?scp=80054985349&partnerID=8YFLogxK
U2 - 10.1521/psyc.2011.74.4.362
DO - 10.1521/psyc.2011.74.4.362
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C2 - 22168296
AN - SCOPUS:80054985349
SN - 0033-2747
VL - 74
SP - 362
EP - 371
JO - Psychiatry (New York)
JF - Psychiatry (New York)
IS - 4
ER -