Abstract
Obsessive—compulsive disorder (OCD) can develop early in life. The classical psychiatric and psychoanalytic literature contains detailed clinical descriptions of the disorder in young children. Janet reported a case of obsessional neurosis in a 5-year-old boy (Janet, 1903), and Freud’s famous patient, the Rat Man, had his first symptoms around age 6 (Freud, 1909).
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References
Altschuler, M. (1962). Massive doses of trifluperazine in the treatment of compulsive rituals. American Journal of Psychiatry, 119, 367–368.
Ananth, J., Pecknold, J. C., Van Den Steen, N. & Engelsmann, F. (1981). Double-blind comparative study of clomipramine and amitriptyline in obsessive neurosis. Progress in Neuropsychopharmacology, 5, 257–262.
Ananth, J., Solyom, L., Solyom, C., et al. (1975). Doxepin in the treatment of obsessive-compulsive neurosis. Psychosomatics, 16, 185–187.
Apter, A., Bernhout, E., & Tyano, S. (1984). Severe obsessive compulsive disorder in adolescence: A report of eight cases. Journal of Adolescence, 7, 349–358.
Barton Hall, M. (1935). Obsessive-compulsive states in childhood and their treatment. Archives of Disease in Childhood, 10, 49–59.
Bartucci, R. J., Stewart, J. T., & Kemph, J. P. (1987). Trimipramine in the treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 144, 964–965.
Baxter, L. R. (1985). Two cases of obsessive-compulsive disorder with depression responsive to trazodone. Journal of Nervous and Mental Diseases, 173, 432–433.
Baxter, L. R., Phelps, M. E., Maziotta, J. C., Guze, B. H., Schwertz, J. M., & Celin, C. E. (1987). Local cerebral rates in obsessive-compulsive disorder: A comparison with rates in unipolar depression and normal controls. Archives of General Psychiatry, 44, 211–218.
Beech, H. R., & Perigault, J. (1974). Toward a theory of obsessional disorder. In H. R. Beech (Ed.), Obsessional states. London: Methuen.
Benkelfat, C., Murphy, D. L., Zohar, J., Hill, J. L., Grover, G., & Insel, T. R. (1989). Clomipramine in obsessive-compulsive disorder: Further evidence for a serotonergic mechamism of action. Archives of General Psychiatry, 1, 23–28.
Berg, C. J., Rapoport, J. L. & Flament, M. F. (1986). The Leyton Obsessional Inventory-Child Version. Journal of the American Academy of Child Psychiatry, 25, 84–91.
Berman, L. (1942). The obsessive-compulsive neurosis in children. Journal of Nervous and Mental Disease, 95, 26–39.
Bevan, J. R. (1960). Learning theory applied to the treatment of a patient with obsessional ruminations. In H. J. Eysenck (Ed.), Behavior therapy and the neurosis. Oxford: Pergamon Press.
Black, A. (1974). The natural history of obsessional neurosis. In H. R. Beech (Ed.), Obsessional states. London: Methuen.
Bolton, D., Collins, S., & Steinberg, D. (1983). The treatment of obsessive-compulsive disorder in adolescence: A report of fifteen cases. British Journal of Psychiatry, 142, 456–464.
Boulougouris, J. C. (1977). Variables affecting the behaviour of obsessive-compulsive patients treated by flooding. In Boulougouris, Rabavilas, & Elmsford (Eds.), Studies in phobic and obsessive-compulsive disorders. New York: Pergammon Press.
Campbell, L. M. (1973). A variation of thought stopping in a twelve-year-old boy: A case report. Journal of Behavior Therapy and Experimental Psychiatry, 4, 69–70.
Casas, M., Alvarez, E., Duro, P., Garcia-Ribera, C., Udina, C., Velat, A., Abella, D., Rodrigues-Espinosa, A., Salva, P. & Jané, F (1986). Antiandrogenic treatment of obsessive-compulsive neurosis. Acta Psychiatrica Scandinavica, 73, 221–222.
Cautela, J. R. (1969). Behavior therapy and self-control: Technique and implications. In C. M. Franks (Ed.), Behavior therapy: Appraisal and status. New York: McGraw-Hill.
Chethik, M. (1969). The therapy of an obsessive-compulsive boy. Journal of the American Academy of Child Psychiatry, 8, 465–484.
De Seixas Queiroz, L. O., Motta, M. A., Pinho Madi, M. B. B., et al. (1981). A functional analysis of obsessive-compulsive problems with related therapeutic procedures. Behaviour Research Therapy, 19, 377–388.
Eisenberg, J., & Asnis, G. (1985). Lithium as an adjunct treatment in obsessive-compulsive disorder. American Journal of Psychiatry, 142, 663.
Emmelkamp, P. M. G. & Kraanen, J. (1977). Therapist-controlled exposure in vivo versus self-controlled exposure in vivo: A comparison with obsessive-compulsive patients. Behaviour Research Therapy, 15, 491–495.
Fenichel, O. (1945). The psychoanalytic theory of neurosis. New York: Norton.
Fine, S. (1973). Family therapy and a behavioral approach to childhood obsessive-compulsive disorder. Archives of General Psychiatry, 28, 695–697.
Flament, M. F., Koby, E., Rapoport, J. L., Berg, C. J., Zahn, T., Cox, C., Denckla, M., & Lenane, M. (1990). Childhood obsessive compulsive disorder: A prospective follow-up study. Journal of Child Psychology and Psychiatry, 31, 363–380.
Flament, M., & Rapoport, J. L. (1984). Childhood obsessive-compulsive disorder. In T. R. Insel (Ed.), New findings in obsessive-compulsive disorder. Washington, D. C: American Psychiatric Press.
Flament, M. E., Rapoport, J. L., Berg, C. J., Sceery, W., Kilts, C., Mellström, B., & Linnoila, M. (1985). Clomipramine treatment of childhood obsessive-compulsive disorder: A double-blind controlled study. Archives of General Psychiatry, 42, 977–983.
Flament, M. E, Rapoport, J. L., Murphy, D. L., Berg, C. J., & Lake, C. R. (1987). Biochemical changes during clomipramine treatment of childhood obsessive-compulsive disorder. Archives of General Psychiatry, 44, 219–225.
Foa, E. B., & Goldstein, A. (1978). Continuous exposure and complete response prevention treatment of obsessive-compulsive neurosis. Behavior Therapy, 9, 821–829.
Foa, E. B., Steketee, G., Kozak, M. J., & Dugger, D. (1987). Effects of imipramine on depression and obsessive-compulsive symptoms. Psychiatry Research, 21, 123–136.
Foa, E. B., Steketee, G. S. & Milby, J. B. (1980). Differential effects of exposure and response prevention in obsessive-compulsive washers. Journal of Consulting and Clinical Psychology, 48, 71–79.
Fontaine, R., & Chouinard, G. (1986). An open clinical trial of fluoxetine in the treatment of obsessive-compulsive disorder. Journal of Clinical Psychopharmacology, 6, 98–101.
Fontaine, R., Chouinard, G., & Iny, L. (1985). An open trial of zimeldine in the treatment of obsessive compulsive disorder. Current Therapeutic Research, 37, 326–332.
Freed, A., Kerr, T. A., & Roth, M. (1972). The treatment of obsessional neurosis. British Journal of Psychiatry, 120, 590–591.
Freud, A. (1966). Obsessional neurosis: A summary of psycho-analytic views as presented at the congress. International Journal of Psychoanalysis, 47, 116–122.
Freud, S. (1959). Notes upon a case of obsessional neurosis. In Collected Papers, (Vol. 3). New York, Basic Books. (Original work published 1909)
Friedmann, C. T. H., & Silvers, F. M. (1977). A multimodal approach to inpatient treatment of obsessive-compulsive disorder. American Journal of Psychotherapy 31, 456–465.
Goodman, W. K., Price, L. H., Rasmussen, S. A., Delgado, P. L., Henninger, G. R., & Charney, D. S. (1989). Efficacy of fluvoxamine in obsessive-compulsive disorder: A double-blind comparison with placebo. Archives of General Psychiatry, 46, 36–44.
Hafner, R. J., Gilchrest, P., Bowling, J., & Kalucy, R. (1981). The treatment of obsessional neurosis in a family setting. Australian and New Zealand Journal of Psychiatry, 15, 145–151.
Hernstein, R. J. (1969) Method and theory in the study of avoidance. Psychological Review, 76, 49–69.
Hollingsworth, C. E., Tanguay, P. E., Grossman, L., & Pabst, P. (1980). Long-term outcome of obsessive-compulsive disorder in childhood. Journal of the American Academy of Child Psychiatry, 19, 134–144.
Hussain, M. Z., & Ahad, A. (1970). Treatment of obsessive-compulsive neurosis. Canadian Medical Association Journal, 103, 648.
Insel, T. R., Mueller, E. A., Alterman, I., Linnoila, M., & Murphy, D. L. (1985). Obsessive-compulsive disorder and serotonin: Is there a connection? Biological Psychiatry, 20, 1174–1188.
Insel, T. R., Murphy, D. L., Cohen, R. M., Alterman, I., Kilts, C., & Linnoila, M. (1983). Obsessive-compulsive disorder: A double-blind trial of clomipramine and clorgyline. Archives General Psychiatry, 40, 605–612.
Isberg, R. S. (1981). A comparison of phenelzine and imipramine in an obsessive-compulsive patient. American Journal of Psychiatry, 138, 1250–1251.
Janet, P. (1903). Les obsessions et la Psychasthénie (2nd ed.) Paris: Bailliere.
Jaskari, M. O. (1980). Observations on mianserin in the treatment of obsessive neuroses. Current Medical Research and Opinion, 6, 128–131.
Jenike, M. A. (1981). Rapid response of severe obsessive-compulsive disorder to tranylcypromine. American Journal of Psychiatry, 138, 1249–1250.
Jenike, M. A., Surman, O. S., Cassem, N. H., Zusky, P., & Anderson, P. W. (1983). Monoamine oxidase inhibitors in obsessive-compulsive disorder. Journal of Clinical Psychiatry, 44, 131–132.
Judd, L. L. (1965). Obsessive compulsive neurosis in children. Archives of General Psychiatry, 12, 136–143.
Kahn, R. S. (1984). Zimeldine treatment of obsessive-compulsive disorder. Acta Psychiatrica Scandinavia, 69, 259–261.
Ketter, T., Chun, D., & Lu, F. (1986). Alprazolam in the treatment of compulsive symptoms. Journal of Psychopharmacology, 6, 59–60.
Knesevich, J. W. (1982). Successful treatment of obsessive-compulsive disorder with clonidine hydrochloride. American Journal of Psychiatry, 139, 364–365.
Lamontagne, Y. (1977). Immersion et implosion. in R. Ladouceur, M. A. Bouchard, & L. Granges (Eds.), Thérapies behaviorales. Paris: Maloine.
Lazarus, A. A. (1958). New methods in psychotherapy: A case study. South African Medical Journal, 33, 660–663.
Leonard, H., Swedo, S., Rapoport, J. L., Koby, E. V., Lenane, M., Cheslow, D. L., & Hamburger, S. D. (1988). Treatment of obsessive-compulsive disorder with clomipramine and desmethylimipramine: A double-blind crossover comparison. Psychopharmacological Bulletin, 24, 93–95.
Lydiard, R. B. (1986). Obsessive-compulsive disorder successfully treated with trazodone. Psychosomatics, 27, 858–859.
Marks, I. M. (1981). Review of behavioral therapy. I: Obsessive-compulsive disorders. American Journal of Psychiatry, 138, 584–592.
Marks, I. M. (1985). Traitement et prise en charge des malades névrotiques. Chicoutimi, Quebec, Canada: Gaetan Morin.
Marks, I. M., Bird, J., & Lindley, P. (1978). Psychiatric nurse therapy: Developments and implications. Behavioural Psychotherapy, 6, 25–36.
Marks, I. M., Rachman, S., & Hodgson, R. (1975). Treatment of chronic obsessive-compulsive neurosis by in vivo exposure. British Journal of Psychiatry, 127, 263–267.
Marks, I. M., Stern, R. S., Mawson, D., Cobb, J., & McDonald, R. (1980). Clomipramine and exposure for obsessive-compulsive rituals: I and II. British Journal of Psychiatry, 136, 161–166.
Marshall, W. K. (1975). The role of intravenous clomipramine in the treatment of obsessional and phobic disorders. Scottish Medical Journal, 20, 49–53.
Mattes, J. A. (1986). A pilot study of combined trazodone and tryptophan treatment in obsessive-compulsive disorder. International Clinical Psychopharmacology, 1, 170–173.
Mavissakalian, M., & Michelson, L. (1983). Tricyclic antidepressants in obsessive-compulsive disorder: Antiobsessional or antidepressant agents? Journal of Nervous and Mental Disease, 171, 301–306.
Meyer, V. (1966). Modification of expectancies in cases with obsessional rituals. Behaviour Research and Therapy, 4, 273–280.
Meyer, V., Levy, R., & Schnurer, A. (1974). The behavioral treatment of obsessive-compulsive disorders. In H. R. Beech (Ed.), Obsessional states. London: Methuen.
Milby, J. B., Meredith, R. L., & Rice, J. (1981). Video-taped exposure: A new treatment for obsessive-compulsive disorders. Journal of Behavior Therapy and Experimental Psychiatry, 12, 249–255.
Mills, H. L., Agras, W. S., Barlow, D. H., & Mills, J. R. (1973). Compulsive rituals treated by response prevention: An experimental analysis. Archives of General Psychiatry, 28, 524–529.
Montgomery, S. A. (1980). Clomipramine in obsessional neurosis: A placebo-controlled study. Pharmaceutical Medicine, 1, 189–192.
Mowrer, O. H. (1960). Learning theory and behavior. New York: Wiley.
O’Connor, J. (1983). Why can’t I get hives: Brief strategic therapy with an obsessional child. Family Process, 22, 201–209.
Ong, S. B. Y., & Leng, Y. K. (1979). The treatment of an obsessive-compulsive girl in the context of Malaysian Chinese culture. Australian and New Zealand Journal of Psychiatry, 13, 255–259.
O’Regan, J. B. (1970). Treatment of obsessive-compulsive neurosis with haloperidol. Canadian Medical Association Journal, 103, 167–168.
Orvin, G. H. (1967) Treatment of the phobic obsessive-compulsive patient with oxazepam, an improved benzodiazepine compound. Psychosomatics, 8, 278–280.
Perse, T. L., Greist, J. H., Jefferson, J. W, Posenfeld, R., & Dar, R. (1987). Fluvoxamine treatment of obsessive-compulsive disorder. American Journal of Psychiatry, 144, 1543–1548.
Prasad, A. (1984). A double blind study of imipramine versus zimeldine in treatment of obsessive compulsive neurosis. Pharmacopsychiatry, 17, 61–62.
Prasad, A. (1986). Efficacy of trazodone as an anti-obsessional agent. Neuropsychobiology, 15, 19–21.
Price, L. H., Goodman, W. K., Charney, D. S., Rasmussen, S. A., & Heninger, G. R. (1987). Treatment of severe obsessive-compulsive disorder with fluvoxamine. American Journal of Psychiatry, 144, 1059–1061.
Rabavilas, A. D., Boulougouris, J. C., Perissaki, C., & Stefanis, C. (1979). The effect of peripheral beta-blockade on psychophysiologic responses in obsessional neurotics. Comprehensive Psychiatry, 20, 378–383.
Rachman, S., De Silva, P., & Roper, G. (1976). The spontaneous decay of compulsive urges. Behaviour Research and Therapy, 14, 445–453.
Rachman, S. J., & Hodgson, R. J. (1980). Obsessions and compulsions. Englewood Cliffs, NJ: Prentice-Hall.
Ramzy, I. (1967). Facteurs et traits de la névrose compulsive dans l’enfance. Revue Française de Psychanalyse, 31, 611–628.
Rapoport, J. L., Elkins, R., Langer, D. H., Sceery, W, Buchsbaum, M., Gillin, C., Murphy, D., Zahn, T., Lake, R., Ludlow, C., & Mendelson, W. (1981). Childhood obsessive-compulsive disorder. American Journal of Psychiatry, 138, 1545–1554.
Rapoport, J. L., Elkins, R., & Mikkelson, E. (1980). Clinical controlled trial of chlorimipramine in adolescents with obsessive-compulsive disorder. Psychopharmacological Bulletin, 16, 61–63.
Rasmussen, S. A. (1984). Lithium and tryptophan augmentation in clomipramine-resistant obsessive-compulsive disorder. American Journal of Psychiatry, 141, 1283–1285.
Rihmer, Z., Szanto, K., Arato, M., Szabó, M. & Bagdy, G. (1982). Response of phobic disorders with obsessive symptoms to MAO inhibitors. American Journal of Psychiatry, 139, 1374.
Rivers-Buckeley, N., & Hollender, M. H. (1982). Successful treatment of obsessive-compulsive disorder with loxapine. American Journal of Psychiatry, 139, 1345–1346.
Roper, G., Rachman, S., & Marks, I. (1975). Passive and participant modelling in exposure treatment of obsessive-compulsive neurotics. Behaviour Research and Therapy, 13, 271–279.
Silverman, J. S. (1972). Obsessional disorders in childhood and adolescence. American Journal of Psychotherapy, 26, 362–377.
Snyder, S. (1980). Amitriptyline therapy of obsessive-compulsive neurosis. Journal of Clinical Psychiatry, 41, 286–289.
Steiner, W., & Fontaine, R. (1986). Toxic reactions following the combined administration of fluoxetine and L-tryptophan: Five case reports. Biological Psychiatry, 21, 1067–1071.
Steketee, G., Foa, E. B., & Grayson, J. B. (1982). Recent advances in the behavioral treatment of obsessive-compulsives. Australian and New Zealand Journal of Psychiatry, 39, 1365–1371.
Stern, T. A., & Jenike, M. A. (1983). Treatment of obsessive-compulsive disorder with lithium carbonate. Psychosomatics, 24, 671–673.
Swedo, S. E., Rapoport, J. L., Leonard, H., Lenane, M., & Cheslow, D. (1989). Obsessive compulsive disorder in children and adolescents: I. Clinical phenomenology of 70 consecutive cases. Archives of General Psychiatry, 46: 335–341.
Tesar, G. E., & Jenike, M. A. (1984). Alprazolam as treatment for a case of obsessive-compulsive disorder. American Journal of Psychiatry, 141, 689–690.
Thorén, P., Asberg, M., Bertilsson, L., Mellström, B., Sjöqvist, F., & Träskman, L. (1980). Clomipramine treatment of obsessive-compulsive disorder: II. Biochemical aspects. Archives of General Psychiatry, 37, 1289–1294.
Thorén, P., Asberg, M., Cronholm, B., Jonestedt, L., & Träskman, L. (1980) Clomipramine treatment of obsessive-compulsive disorder: I. A controlled clinical trial. Archives of General Psychiatry, 37, 1281–1285.
Tollefson, G. (1985). Alprazolam in the treatment of obsessive symptoms. Journal of Clinical Psychiatry, 5, 39–42.
Trethowan, W. H., & Scott, P. A. L. (1955) Chlorpromazine in obsessive-compulsive and allied disorders. Lancet, 51, 781–785.
Turner, S. M., Jacob, R. G., Beidel, D. C., & Himmelhoch, J. (1985). Fluoxetine treatment of obsessive-compulsive disorder. Journal of Clinical Psychopharmacology, 5, 207–212.
Venkoba-Rao, A. (1964). A controlled trial with “valium” in obsessive-compulsive state. Journal of the Indian Medical Association, 42, 564–567.
Volavka, J., Neziroglu, F., & Yaryura-Tobias, J. A. (1985). Clomipramine and imipramine in obsessive-compulsive disorder. Psychiatry Research, 14, 83–91.
Walter, C. J. S. (1973). Clinical impressions on treatment of obsessional states with intravenous clomipramine. Journal of International Medical Research, 1, 413–415.
Walton, D. (1960). The relevance of learning theory to the treatment of an obsessive-compulsive state. In H. J. Eysenck (Ed.), Behavior therapy and the neurosis. Oxford: Pergamon Press.
Warneke, L. B. (1984). The use of intravenous clomipramine in the treatment of obsessive compulsive disorder. Canadian Journal of Psychiatry, 29, 135–141.
Warneke, L. B. (1985). Intravenous clomipramine in the treatment of obsessive compulsive disorder in adolescence: Case report. Journal of Clinical Psychiatry, 46, 100–103.
Weiner, I. B. (1967). Behavior therapy in obsessive-compulsive neurosis: Treatment of an adolescent girl. Psychotherapeutic Theory Research and Practice, 4, 27–29.
Wolff, R., & Rapoport, J. (1988). Behavioral treatment of childhood obsessive-compulsive disorder. Behavior Modification, 12, 252–266.
Wolpe, J. (1973). The practice of behavior therapy (2nd ed.). New York: Pergamon Press.
Won Kim, S. (1987). Trazodone in the treatment of obsessive-compulsive disorder: A case report. Journal of Clinical Psychopharmacology, 7, 278–279.
Worsley, J. L. (1986). Behavior and obsessionality. In H. Freeman (Ed.), Progress in behavior therapy. Bristol: John Wright.
Yamagami, T. (1978). Changes of behavior, fear and thought in the treatment by response prevention: A case study of obsessive compulsive disorder. Folia Psychiatrica Neurologica Japonica, 32, 77–83.
Yaryura-Tobias, J. A. (1977). L-tryptophan in obsessive-compulsive disorders. American Journal of Psychiatry, 134, 1298–1299.
Zohar, J., & Insel, T. R. (1987). Obsessive-compulsive disorder: Psychobiological approaches to diagnosis, treatment and pathophysiology. Biological Psychiatry, 22, 677–687.
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Flament, M.F., Vera, L. (1990). Treatment of Childhood Obsessive—Compulsive Disorder. In: Treatment Strategies in Child and Adolescent Psychiatry. Springer, Boston, MA. https://doi.org/10.1007/978-1-4899-2599-2_4
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