Obsessions
are defined as recurrent, persistent, thoughts, images or impulses that are
experienced as intrusive & inappropriate. Compulsions are repetitivebehaviours or mental acts that the person feels driven to perform in response
to an obsession or according to rigid rules.
Until the
1850s, obsessive-compulsive phenomena were considered to be a variant of the
old notion of insanity. After 1860, organic causal hypotheses for OCD included
dysfunctions of the autonomic nervous system and cortical blood supply. In 1880
OCD was included in the spectrum of neuroses. Psychological hypothesessuggested the OCD might result from volitional, intellectual, or emotional
impairment, the last of which predominated after 1890. First description of OCD
in childhood was given by Pierre Janet in 1903 who reported on a five year old
boy with characteristic symptoms. OCD usually begins in adolescence or early
adulthood although it can begin in childhood. Nearly 65% of the patients have
the onset before 25 years of age and <15% have onset after 35 years of age.
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